C J M Communications One 2 One Airtime Registration Form

C J M Communications - One-2-One AIRTIME REGISTRATION FORM (April 1999)
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Best viewed using a non-proportional font.

THIS FORM IS TO BE COMPLETED TO GET SERVICE ON One-2-One
THROUGH OUR APPROVED SERVICE PROVIDER.

PLEASE READ ALL OF THE NOTES BEFORE ATTEMPTING TO COMPLETE THIS FORM.

1. Airtime is provided subject to status and to persons over 18 who
are UK residents.

2. This registration FORM MUST BE COMPLETED IN ADVANCE to enable us
to connect your telephone. This form is for registering your
airtime with and the payment details in section 4 are for paying
your future telephone bills. Please make sure that you COMPLETE
SECTION 5 IN ORDER TO PAY FOR THE ACTUAL PHONE* (and accessories
you may also wish to purchase). These details are totally
separate to how you choose to pay your service provider for calls
& line rental.
* Except if registering airtime only, without a provided handset.

3. The one off CONNECTION FEE of £35.25 and your subsequent line
rental is paid to us at the time of connection. (Does not apply to
FREE Phones/SIM only bundles - where you pay an all inclusive fee as advertised)

4. The MINIMUM CONNECTION TIME to the network is 12 months, with a
ONE month notice period. Therefore the MINIMUM TERM is 12
months (11+1 months).

5. YOU HAVE A 14 DAY CANCELLATION PERIOD, which starts from the date
of connection. You may return the phone and any accessories that
you have purchased for a full refund, as long as you keep the
original packaging and return it in good condition.

6. INSURANCE: Unless you opt in for one of the various Insurance
Cover Protection packages, you will accept that you will be liable
for the extra cost of purchasing a replacement phone. Please ensure
that you are aware of the replacement cost (shown as the "Offline"
price within our price lists) before proceeding.

PROOFS:

7. You will also need to send us some proofs, which you should return
with this form. For example, a drivers licence and BT phone bill.

* These proofs can include; A copy of the entire sheet of your
drivers licence (registered at the address of connection) to show
your signature and any Bank Statement or Utility Bill as another
proof of address. If you do not have a drivers licence, we can
accept a photocopy from your passport or the front & back of a
valid credit card (not debit card). Call if you are uncertain.

8. A proper contract will be sent to you which needs to be signed to
make this connection complete. You must return EVERY sheet of this
contract to us - and we will return your copy with the relevant
tariff/handset information added to it upon connection.

9. You can either post, fax or Email the form back to us as
detailed further down;-

NOTES:

o All our phones are brand new and come with the standard mains
charger and the standard battery. We do not, and never have, sold
reconditioned or second hand goods.

o You will automatically receive any free accessories from us under
any promotion in place. In addition, any special offers that apply
to you will be given automatically.

o Please photocopy this form if registering multiple handsets.

o Once you have completed the form and returned it, we will use the
supplied information to go ahead and register the handset.
It is important that you check every section is completed
correctly as leaving information out (such as your date of birth
or a post code) will prevent us carrying out the credit check.

RETURNING THE FORM & PROOFS:

POST: 114 Lunderston Drive, Glasgow, G53 6BS
FREE FAX: 0800 298 3305 (Orders and registration forms only)
EMAIL: enquiry@cjmcommunications.com

FURTHER INFORMATION:

WWW: http://www.cjmcommunications.com

EMAIL: mobiles@cjmcommunications.com - for prices & this form.
EMAIL: enquiry@cjmcommunications.com - general enquiries and questions.

STILL NEED HELP?:

o If you have any further questions that can not be answered on our
web pages, please call us on 0870 787 2152. For
technical queries, please call us on 0700 5608146.

o IF YOUR CALL IS NOT ANSWERED - PLEASE MAKE SURE YOU LEAVE A
MESSAGE ON OUR ANSWERING SERVICE SO THAT SOMEONE CAN GET BACK TO
YOU.

Free "Phone Me" Personal Number:

We provide a totally free "0700" personal number with every connection,
although you are under no obligation to use it. This number can be routed
to your mobile number & any 3 other UK destination Numbers with no cost to yourself
now or in the future. Callers are charged at a higher rate (comparable to
mobile rate) regardless of where you are actually routing the call, which
is how the personal number company makes money from proving a service at
no cost. You pay nothing to receive the calls and continue to get the
callers Caller ID information if available.

To change the destination of your personal number, you are given a unique
number that is PIN code protected. You can then change your personal
number to divert calls (free of charge to yourself) to any UK landline or
mobile phone number yor personal greeting on hold music ect.

The other advantage of using a personal number is clear should you wish to
change phone or network in the future. Although your mobile number may
change, callers will still reach you on your personal number. If you would
like to have a special number, we offer a choice at extra cost (from £25
upwards) for Fax & international numbers. Please note that when you make outgoing calls from your chosen
destination, people will receive the "correct" Caller ID information and
not your personal number.

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1. COMPLETE IN ALL CASES Please use BLOCK CAPITALS to complete

DATE: ___/___/___

Title: ____ (e.g. Mrs) Marital Status: __________ (e.g. Married)

Forename: _____________________________ Other Initials: __________

Surname: ______________________________ Date of Birth: ___/___/___

Home Address: Note. Must match a Ý If less than 3 years there,
proof of address. Ý state your previous address here:
Ý
_________________________________ Ý _________________________________
Ý
_________________________________ Ý _________________________________
Ý
FULL Post Code __________________ Ý FULL Post Code __________________

Time here: ____ years ____ months Time here: ____ years ____ months

Telephone Day: __________________ Telephone Eve: __________________

Residential Status: ______________ Select: Owner, Tenant(Furnished),
Tenant(Unfurnished), With
Parents or Other.

Employment: ______________________ Select: Full, Part, Self Employed,
Student, Retired,
Unemployed or Other.

Occupation: ______________________ (Job Title/Position/Type)

Time with present employer: ____ years ____ months

Time with present bank : ____ years ____ months

Number of credit cards : ____ (Inc. Chargecards and Debit cards)

Driving Licence Number : ______________________ (or passport no.)

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2. COMPLETE THIS SECTION ONLY IF THE AGREEMENT IS FOR BUSINESS USE

Company/Trading Name: _________________________________

Co. Reg or Type: _________________ Select: <Company Reg. No> (Ltd),
Sole Trader, Partnership
or Other/

Time in business : ____ years ____ months

Time with present bank : ____ years ____ months

Business Address: ___________________________________________________

___________________________________ Post Code _______________________

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3. PHONE AND SERVICE DETAILS

Tariff Requested: ______________ Network: ONE 2 ONE (circle)
Select from low, medium or regular tariffs (check guide for charges).

Additional Services: Please tick the options you want on your account

Itemised billing is free____ Call Planner option (see guide).

Details of the charges are Ý
available in our guide. Ý ____ Insurance* Type: _________________

* Insurance: Standard(2.99/m)-Total(4.99/month)

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4. PAYMENT (This is for payment of your phone bill)

Method of Payment: ______________________ Select: Cheque/Direct Debit

Please give us your bank details if you wish to pay by Direct Debit.
If you opt out, you may have to pay a monthly surcharge.

Bank Name : _______________________________________________________

Bank Address: _______________________________________________________

___________________________________ Post Code _______________________

Sort Code : ____-____-____ Account Number: __ __ __ __ __ __ __ __

Account Name: _______________________________________________________

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DEPOSITS:

You may be required to pay a deposit before you will be accepted as a
customer. However, this money can often be held as a bond if you pay
by credit card and will be used to pay for your future airtime bills.

Deposits paid by cheque, or for international roaming will be held
for 12 months in the same was as with other companies.

The decision on the deposit is completely out of our control and we
don't make any additional money out of you paying one. If you are
rejected for any reason, we can advise on how to get a copy of your
credit history, which will cost 1-2 pounds sent to an agency.
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5. PHONE ORDER (Visa/MasterCard/Switch/Solo/Delta/Cheque/POs)

Qnty Phone Required / Any Accessories Unit Price Total

____ ___________________________________________ ________ ________

################################################# TOTAL:________

To pay by credit card: Card No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Name on Card: ________________________ Start: _ _/_ _ Expiry: _ _/_ _

For Switch/Solo owners, Issue No. _ _

AUTHORISED PRINT
SIGNATURE: ______________________________ NAME:_____________________
(The person placing the order should sign here and print their name.)

Please make Cheques or Postal Orders payable to "C J M Communications".

Prices shown inc. VAT. A receipt will be issued with your order.

E.&O.E. If you are unsure about anything - call 0700 56 08146 now.

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