Telephone Contract Order Form

Product Selected : Energy Telecom 08XX Number

Thank you for selecting a new contract sourced from www.thepowerswitch.com

Please complete all applicable sections below and submit for processing

--------------------------------------------------------------------------

Company or trading name

Contact name
Tel no
Fax no
Email

Site address & postcode



Billing address (if different from above)
Tel no. 08XX will connect to:

Estimated incoming calls

in minutes a year

Tick number type required
0808 free 0845 Local 0870 National
Current calls supplier/s

How did you find us which engine/website etc.

Please note any additional comments here

Should you receive an error message when trying to submit please print this page and fax to 0845 280 1360