A complete IT solution and internet service provider.

BT Internet

Name:

Email:

Phone:

Type of Order (Broadband, BT Net or/and Cloud Voice): *

Full Business Name: * (for sole traders include first name, last name as shown on passport T/A “trading name”)

Correspondence address: *

Deliver address (if different):

Billing address (if different):

Company registration number (* if ltd company)

Contact name: *

Email address: *

Broadband Bundle Required & monthly cost

Switching Telephone numbers

Service provider name

Account number with current service provider

Username: (must be a valid email address)

Password security question: (choice of - Parent's name, Child's name, place of birth, Primary school)

Security question answer:

*Mandatory if new to customer to BT Not required – customer has existing telephone number with BT Business: (please record the number)

Director/ partner/ sole trader – name: (as shown on passport)

Home address: (lived at for more than 3 years include previous address if less than 3 years.

Direct Debit Details & Billing (paper bills are £4 each)

Account name:

Sort code:

Account number:

Is dual signatory required: (if yes BT will send a direct debit mandate)

Is monthly or quarterly billing required:

Does the customer have an existing one bill with BT: (account number which starts with VP)

Is a new line required: (this incurs a connection charge of £125)

Is a phonebook entry required:

Is the broadband/infinity to be provided on an existing BT telephone number: (enter telephone number) Note – the line will be resigned on a new 2-year term

Role of the person placing the order:

Is the person placing the order the company decision maker:

BT Internet

Policy