C J M Communications Airtime Registration Form (Orange);

Print this form, from the "CUT HERE" part onwards using a non-
proportional font. PLEASE DO NOT SEND US BACK THE ENTIRE FORM!

http://www.cjmcommunications.com/mobiles/formnotes.htm (Connection notes)
http://www.cjmcommunications.com/mobiles/AirtimeRegistrationForm.htm (Form)

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PLEASE read this page in full before attempting to complete the form. It
will answer most common questions and may prevent you completing parts
unnecessarily!

This form MUST be completed before we can supply a phone. You will also
need to provide 2 proofs.

If you want to add a phone to an existing account, or upgrade, please see
further on for information.

Personal users should complete sections 1, 3, 4 and 5 in all cases.

Business users should complete sections 2, 4 and 5, with just contact
details in section 1 (see section explanation below).

Please print out the form separately for multiple phone connections. If on
the same account, complete one form and then attach a cover note detailing
the extra handsets you require and the required talk plans and user names
for each one.

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The Sections Explained:

Section 1 is to be completed in all cases, but depending on your order -
some bits may be left empty. Business users only need to
include a contact name, address and phone number.
Section 2 is for business users to complete. We will need an official
order from you by fax or post, which may need to be given to
Orange.
Section 3 is to request a talk plan/tariff and any additional services.
Some services are at extra cost and are explained accordingly
within this section.
Section 4 is your method of payment to Orange for phone connection, line
rental and call charges.
Section 5 is for your actual phone order. Here you give us the required
handset/additional accessories wanted and your payment details.
Section 6 is for requesting any special delivery instructions - such as
a specific date for delivery or another delivery address.

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Connection Notes:

The minimum connection time to the Orange network is 12 months, consisting
of a 1 month notice period, required in writing.
You have a 14 day money back guarantee for all new connections, however
this excludes upgrades.
You may be required to pay a deposit by cheque or credit card (held for 12
months) before you can be connected.
We require 2 proofs (Proof of address & ID) for all new connections, which
must be sent by fax or post. Acceptable proofs are given below.

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Talkshare:

Talkshare gives the ability to have more than one person sharing the same
Talk Plan (tariff). When completing the form, complete it for the account
holder as normal, but include the second person in the "User Name" box. In
Section 3, mark the chosen Talk Plan as "Talkshare <talk plan>". For
example, to have two users sharing Talk 60, write "Talkshare 60". We'll do
the rest. Each person sharing a talk plan pays £14.69 per month including
VAT, in addition to the "main user" who pays for the main talk plan at the
normal rate. More details of Talkshare can be found on our web site at;
<http://www.cjmcommunications.com/mobiles/talkshareplus.htm>.

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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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Returning the Form/s to us:

Faxing back the form with your proofs is by far the quickest way of placing
an order. Please note that we will generally only call you to advise if
there are any problems with your order, not just to confirm receipt. If you
specifically need us to acknowledge receipt, please state it clearly
somewhere on the form when sending it.

POST: C J M Communications, 114 Lunderston Drive, Glasgow, G53 6BS.
FREE FAX: 0800 298 3305 (Ordering & Registration Forms Only)
EMAIL: mobiles@cjmcommunications.com (Please send or fax proofs separately if
emailing the form to us.)

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More Information:

If you are still unsure about anything, you can get further information
from us in a variety of different ways.

By checking out our web site you will be able to check on any pricing
changes, special offers and new handsets before placing an order.

If you still have questions that cannot be answered via the web, please
call us on 0870 787 2152.

For technical queries, please call 0700 5608146. If for any reason the
call is not answered, please leave a message on our answering service.

INTERNET:
http://www.cjmcommunicationss.com/mobiles/pro_orange.htm

EMAIL:
Send enquiries to; enquiry@cjmcommunicationss.com
For pricing, send an Email to; mobiles@cjmcommuniations.com for an auto response.

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Acceptable proofs; (required for all new accounts)

Proof of address: Utility Bill (BT, Gas, Electricity etc.)
Bank or Credit Card Statement
(no more than 3 months old)

Proof of identity: Drivers Licence
Passport
Firearms Certificate
Front & Back of Credit Card

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Adding another phone to an existing account;

If you wish to add another phone to an existing account, things are
very simple indeed.

Call Orange free on 180 using your handset and ask for them to put a
note on the account stating that "C J M Communications will be adding a
phone to the account". Now just complete the form including your
account number, name, address and a user name for the new person. If
Talkshare, state this in Section 3.

As of March 11th 1999, we will still require proofs or an official
order on headed paper.

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The quick way to upgrading your Orange phone;

If you are upgrading your phone, you do not need to complete this
form in full. Simply include your name, address and complete the other
requested information shown in "For Upgrades Only".

We will then call Orange for authorisation and send you a hard copy
contract for completion. Once you return this we can proceed to get
the handset and a new SIM card to you. Please allow 5 working days.

-=-

Please cut, paste and print the form from here onwards. This will
help save wastage and speed up the time of your fax/Email transmission.

==CUT HERE==

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

>Please mark; NEW ACCOUNT/ADDING TO EXISTING ACCOUNT/UPGRADE (circle)

DATE: ___/___/___ EXISTING ORANGE ACCOUNT NO.?: _____________

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

Nb. If adding another phone to the same account, please give us the
details of the "sole" account holder here. Then give the name of the
new user underneath. Orange can then identify each user separately.

Forename: _____________________________ Other Initials: __________

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

User Name: __________________________________ (Second user name)

Telephone Day: __________________ Telephone Eve: __________________

Home Address: (Must match your supplied proof of address if needed)

_____________________________________________________________________

_____________________________________________________________________ :

FULL Post Code ___________________ Time here: ____ years ____ months

[NOTE: The following information does not need to be completed if you
are adding another phone to an existing account]

Previous Address: (If at above address for less than 3 years)

_____________________________________________________________________

_____________________________________________________________________ :

FULL Post Code ___________________ Time here: ____ years ____ months

If the total time at both addresses does not add up to 3 years, you
will need to provide a previous previous address on a separate sheet.

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

Employment: ______________________ Choose: 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

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For Upgrades Only:

- Once completed, go straight to Section 5 (Phone Order) to finish.

DATE: ___/___/___ ORANGE ACCOUNT NO.: _____________

Name: ___________________________________ ORANGE NO.: _____________

Home Address:

_____________________________________________________________________

_____________________________________________________________________ :

___________________________________ FULL Post Code __________________

Existing Handset: ___________________________________________________

Handset to Upgrade to: ______________________________________________

Handset Serial (IMEI) No.: __________________________________________
(Shown on the back of the phone as 44/XXXX/XX/XXXXX/X)

SIM Card (IMSI) No.: ________________________________________________
(Shown on the back of the SIM Card as 8944..)

Time Connected to Network: __________________________________________

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

Company/Trading Name: _______________________________________________

Business Address: ___________________________________________________

_____________________________________________________________________

___________________________________ Post Code _______________________

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

Time in business : ____ years ____ months

Time with present bank : ____ years ____ months

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3. PHONE AND SERVICE DETAILS

- For details of tariffs and service charges, see our web site;
Tariffs; http://www.cjmcommunications.com/mobiles/package.htm
Services; http://www.cjmcommunications.com/mobiles/services.htm

Chosen Talk Plan: _____________ Example;Talk 30/60/200/360/540/1000/2500/5000/TShare
(Orange allows you to change talk plans free of charge each month,
except where special conditions apply in relation to a promotion).

ORANGE ADDITIONAL SERVICES REQUIRED: (Tick below as appropriate)

___ Orange Assistant (personal answering service)

___ Orange Data/Fax (We can set up the data service at no charge)
Nb: You will need a data compatible handset/card to use it.

YES Orange Messaging (send text messages - no rental fee)

___ Chat 60 (A low cost second line with 60 minutes off-peak calls)

___ Line Two (Second line. Choose your Talk Plan here: ____________)

___ *NO* Itemised Billing (I.Billing is free, tick to opt out)

___ Go Ex-Directory (Opt out of being included in Orange phone book)

___ International Facilities if available (deposit may be required)
(or)
___ International Facilities ESSENTIAL REQUIREMENT for connection.

___ Orange Care Package (for talk plans that do not include it)

___ Answer Phone calls from inclusive minutes (Talk 30 only)

___ FREE "Phone Me" Personal Number; (please complete below)

Please supply; MOTHERS MAIDEN NAME: ____________________________

Home number to divert to (or other) ____________________________

Work number to divert to (or other) ____________________________

By default, we will set the mobile divert to your new Orange no.

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

Method of Payment: ______________________ Select: Cheque/Direct Debit

Nb: PLEASE GIVE US YOUR BANK DETAILS IF YOU WISH TO PAY DIRECT DEBIT.

Bank Name : _______________________________________________________

Bank Address: _______________________________________________________

___________________________________ Post Code _______________________

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

Account Name: _______________________________________________________

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5. PHONE ORDER (Visa/MasterCard/Switch/Solo/Delta/Cheque/POs)

Qnty Phone Required / Any Accessories Unit Price Total

-1-- -EXAMPLE--Nokia-nk702-&-Accessory-Pack----- -39.99-- -39.99--

____ ___________________________________________ ________ ________

____ ___________________________________________ ________ ________

____ ___________________________________________ ________ ________

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

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

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

For Switch/Solo owners, Issue No. _ _

- Please make cheques or postal orders payable to "C J M Communications"
- A receipt will be issued with your order.

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- The person responsible for the account MUST sign below.

Read This First Before Signing;
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 PRINT
SIGNATURE: ______________________________ NAME: _____________________

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 1 year
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
œ150, to pay any deposit required to accept me on the network. I
understand that everything to prevent this will have been done by
C J M Communications based on the information I supplied to them."

PLEASE
SIGN HERE: ____________________________________________

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6. SPECIAL DELIVERY INSTRUCTIONS:

- If you need us to make a delivery to another address (e.g. work)
- If you need delivery at a special time, e.g. before 12 or Saturday.
Please note that special deliveries may cost more so check first.
- We can't deliver to PO Boxes and may need further information to
verify other addresses for security reasons.

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

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This form is Copyright (C) C J M Communications and may not be used by
anyone else without written permission. E&OE. Errors & Ommisions
Excepted. Last updated March 11th 1999

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