Orange Airtime Registration Form

P M Communications
Freephone SalesOrdering Only Tel: 0800 0260885
Enquirys Tel/Fax: 0870 7872162
EMail: enquiry@pmcomms.com

Mobile Phone Export Service

Orange Airtime Registration Form

You can read the connection notes at; http://www.pmcomms.com/mobiles/formnotes.htm.
Please print this page out and fax back when completed to Fax 0870 7872162 with the required proofs.
You may also obtain a plain text version of this form at; http://www.pmcomms.com/mobiles/orngform.htm.

Section 1: Account Details - to be completed for all new connections.

PLEASE WRITE CLEARLY USING BLOCK CAPITALS LIKE THIS.
Where it’s likely to be of help, notes are given to help you answer any questions you may have.
If you are upgrading, please skip down to the section "For Upgrades Only".
It is vital that you include a complete post code and the number of your property (not just a name of the house).
If you are bringing over an existing number from another UK mobile phone network, you will need to include a copy of your LATEST airtime bill.

Date:		DD/MM/YY		Existing Orange Account?	Account Number
Title:		e.g. Mr/Mrs		Marital Status:	e.g. Married
Forename:		Account holders name		Other Initials:	(optional)
Surname:		.		Date of Birth:	DD/MM/YY
User name:		If adding another phone to your account (e.g. Talkshare), please give their user name here.
Daytime/Work Telephone Number:			Include STD/Area code
Evening/Home Telephone Number:			Include STD/Area code
Current Address: (When you supply a proof of address, this must match)				.
.
Post Code	This MUST be complete			Time Here:	In years and months
Bringing over an existing number?:			Please give existing mobile phone number
Note: The following information does not need to be completed if you are adding another phone to an existing account.
Previous Address: (If at current address for less than three years)				.
.
Post Code	This MUST be complete			Time Here:	In years and months
Residential Status:			e.g. Owner/Tenant (Furnished/Unfurnished)/With Parents
Employment:			Full, Part, Self Employed, Student, Retired, Unemployed..
Occupation:			Job title/position/job type (e.g. Nurse or IT Manager)
Time With Present Employer:			In years and months
Time With Present Bank:			In years and months

For Upgrades Only

Once completed, please go straight to Section 5 (Phone Ordering) to complete your order.
We do not require proofs when you are upgrading.

Date:	DD/MM/YY		Orange Account No.:	.
Name:	Account holders name		Orange Tel No.:	.
Address:	.
.
.			Post Code:	.
Existing Handset:		e.g. "Nokia Orange"
Handset You With To Upgrade To:		e.g. "Nokia 6150e"
Existing Handset Serial (IMEI) Number:		Shown on the phone as 44/XXXX/XX/XXXXXX/0
Existing SIM Card (IMSI) Number:		Shown on the SIM Card as 8944…
Time Connected To Network:		In years and months

Section 2: For BUSINESS applications.

Limited companies trading for less than three years are likely to be asked for a deposit.

Company Trading Name:	.
Business Address:	.
.
.
Post Code:	This MUST be complete
Company Reg. Number or Type:	Sole Trader, Partnership or Company Registration Number
Time In Business:	In years and months
Time With Present Bank:	In years and months

Section 3: Phone & Service Details - to be completed in all cases.

You are free to change talk plans free of charge each month, unless a special offer imposes any restrictions.
Details of the various Orange services can be found at http://www.pmcomms.com/mobiles/services.htm.
Details of the Orange Value Promise scheme can be found at http://www.pmcomms.com/mobiles/ovp.htm.
Details of the current Orange Talk Plans (tariffs) can be found at http://www.pmcomms.com/mobiles/tariffs.htm.
If you're connecting on Talkshare, state the chosen talk plan, e.g. "Talkshare 60" for two users sharing Talk 60.
Where there are additional service charges, all prices shown are inclusive of VAT.
Orange Answerphone and the SMS Text Messaging service is given to all subscribers.

Chosen Talk Plan (Tariff):

Talk 30/60/200/360/540/1000/2500/5000,Talkshare,Chat60,Talkahead etc.

Additional Services Requested:

Circle

Service:

Description of service:

Yes/No

Orange Assistant

Personalised answering service. £11.75 connection + £29.38 monthly line rental. Callers are invited to leave a short message with an operator that answers in your name, which is forwarded to your handset as a text message.

Yes/No

Orange Data/Fax

We can set up the data service for you, giving you incoming data & fax numbers. There is no charge for this service. You can then subscribe to the Answer Fax service if this is enabled for no extra charge. You will need a data compatible handset and cable/data card as required.

Yes/No

Chat 60 or Line Two

A second line on the same phone, ideal for splitting business and social calls. Line Two services may be billed to another user. Chat 60 is a low cost second line with 60 minutes of off-peak calls per month. All Line Two services have a £11.75 connection fee with a reduced line rental for the chosen talk plan. Chat 60 has a monthly charge of £5.88.

Line Two Talk Plan:

e.g. Chat 60

Yes/No

Itemised Billing

Itemised billing is free. Tell us if you DO NOT want this service, or it will be given by default.

Yes/No

Go Ex-Directory

You can opt OUT of being included in the Orange phone directory.

Yes/No

International Facilities (if available)

Gives you international roaming & calling. If the facility is not offered to you, or you are asked for a deposit, we will proceed with a standard connection.

Yes/No

International Facilities (condition of purchase)

Gives you international roaming & calling. You may have to pay a deposit to have this enabled. If you select this, we will not proceed with a connection unless international facilities are offered or we get your authorisation to pay a deposit.

Yes/No

Orange Care Package

For talk plans that do not include the Care Package, you may purchase it for £5 a month. The talk plans that currently do not include the care package are Everyday 20 and any tariff under the Orange Value Promise scheme that would not include insurance or an extended warranty as standard.

Yes/No

Answer Phone calls from inclusive minutes (Talk 30)

Talk 30 subscribers may choose to have their inclusive minutes used for calls to the Answer Phone (voicemail) service.

Yes/No

FREE "Phone Me" 07050 Personal Number

A full information pack will be sent to you after connection. You may also give two additional pre-set numbers which you can set your personal number to divert to.

Home (or other):	(include area code)
Office (or other):	(include area code)
Mothers Maiden Name:	For security purposes

Section 4: Method of Payment to Orange (Connection, rental & calls).

There is no surcharge if you wish to pay each month by cheque but we recommend direct debit for your convenience.
The exception to this is when connecting to a tariff under the Orange Value Promise.
Details of the Orange Value Promise scheme can be found at http://www.pmcomms.com/mobiles/ovp.htm.

Method of Payment:	Cheque or Direct Debit.
Bank Name:	.
Bank Address:	.
.
.		Post Code:	.
Sort Code:	XX-XX-XX	Account Number:	.
Account Holders Name/s:	.

Section 5: Phone Order.

Please make cheques or postal orders payable to "C J M Communications".
A receipt will be issued with your order.
Details of the currently available handsets and the prices can be found at http://www.pmcomms.com/mobiles/prices.htm.

Quantity	Phone Required, plus any accessories required.	Unit Price	Total Price
1	EXAMPLE: Nokia nk702 + £15 Accessory Pack	£39.99	£39.99
.	.	£	£
.	.	£	£
.	.	£	£
.	.	£	£
.	.	TOTAL	£

Credit Card No.:	.	Start:	XX/XX	Expiry:	XX/XX
Name on Card:	As shown in full	AMEX/Switch; give batch/issue number:			.

The person who will be responsible for the account must sign below – however you are paying.
Without a signature, we cannot proceed with your order.

Read This: "I have read all of the terms & conditions and agree to be bound by them. I acknowledge that I will have 14 days in order to trial the network and that this time begins from the actual day of connection. Nothing written here affects my statutory rights in any way."

By signing below you will agree to be bound by the terms & conditions laid down by Orange and be a subscriber for a minimum of 12 months from the date of connection.

AUTHORISED SIGNATURE:

PRINT YOUR
NAME/POSITION HERE:

If you are required to pay a deposit, you may also give us your authority to proceed without needing to contact you. This can speed up your connection in case we cannot reach you straight away.
For your security, details of the money paid to Orange will be shown clearly on your first Orange phone bill.
Deposits are held for 12 months and are often charged to people who are not on the electoral roll, or have been in the country for less than 3 years.
Your deposit will be refunded immediately if you return your phone under the 14 day money back guarantee.

I authorise Orange to debit my credit/debit card, by no more than £150, to pay any deposit required to accept me on the network. I understand that everything to prevent this will have been done by JM Communications based on the information I supplied to them.

PLEASE
SIGN HERE:

Section 6: Special Delivery Instructions

If you need us to make a delivery to another address (e.g. at work) or at a specific time, please detail below.
We CANNOT deliver to PO Boxes and may need further information to verify other addresses – for security reasons.
We send all phones by City Link, who will deliver anytime between 9am & 5pm Monday-Friday. If you need Saturday delivery, it will cost approximately £30 extra.

Please write clearly

Now everything is completed, please fax the form back with a bank statement or utility bill (proof of address) and a proof of ID to 0870 7872152.
Alternatively, you can post everything to us at; CJM Communications, 114 Lunderston Drive, Glasgow, G53 6BS.

Proofs of address must be no older than 3 months. We can accept a drivers licence, passport or front & back of a credit/debit card as a proof of ID

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