Order Form

Contact Details

Contact name
Company
Address
Postcode
Email
Contact phone number
Analog phone number to be used with ADSL.

Service Details

Service required
Business 500 USB
Business 500 Network
Business 1000 Network
Business 2000 Network
 
Fixed IP
Install location Floor    Room
Position

Please specify if there are other services installed on the line, such as ISDN, BT Highway, PBX lines, RedCare, Pulse Metering Facilities or coin box operation.
Preferred install date AM PM Please allow 10 working days*
*We cannot guarantee this if BT have to carry out additional exchange work in order to provide ADSL on your line.

Clicking "Next" will bring up a printable order form, which should be faxed to us on 01926 450079 or posted to Interactive Web, 17 Dale Street, Leamington Spa, Warwickshire, CV32 5HH