CJM 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) -=- 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. -=- 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. -=- 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. -=- 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 ". 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; -=- 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. 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). 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. -=- 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. FAX: 0800 298 3305 (Orders & Registration forms Only) EMAIL: mobiles@cjmcommunications.com (Please send or fax proofs separately if emailing the form to us.) -=- 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. -=- 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 -=- 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. -=- 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 --------------------------------------------------------------------- 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:__________________________________________ --------------------------------------------------------------------- 2. COMPLETE THIS SECTION ONLY IF THE AGREEMENT IS FOR BUSINESS USE Company/Trading Name:_______________________________________________ Business Address:___________________________________________________ _____________________________________________________________________ ___________________________________ Post Code_______________________ Co. Reg or Type: _________________ Choose: (Ltd), Sole Trader, Partnership or Other/ Time in business : ____ years ____ months Time with present bank : ____ years ____ months --------------------------------------------------------------------- 3. PHONE AND SERVICE DETAILS - For details of tariffs and service charges, see our website; Tariffs; http://www.cjmcommunications.com/mobiles/package.htm Services; http://www.cjmcommunications.com/mobiles/services.htm Chosen Talk Plan: _____________ Example;Talk30/60/200/360/540/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 phonebook) ___ 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. --------------------------------------------------------------------- 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:_______________________________________________________ --------------------------------------------------------------------- 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. --------------------------------------------------------------------- - 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 £150, 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: ____________________________________________ --------------------------------------------------------------------- 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. _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ --------------------------------------------------------------------- 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