A complete IT solution and internet service provider.

029 2278 4423

Info@integrumit.co.uk

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:

Log a Ticket Call

BT Internet

Integrum IT, C5 Business Centre, C5 North Road, Bridgend Industrial Estate, Bridgend, CF31 3TP COMPANY REG 12451944 VAT 360540522029 2278 4423Policy

Integrum IT, C5 Business Centre, C5 North Road, Bridgend Industrial Estate, Bridgend, CF31 3TP COMPANY REG 12451944 VAT 360540522
029 2278 4423
Policy