Holder's address

Holder's address

Mr. Mrs.

Contact

Contact

Pack

Pack

Internet connection

50/10 Mbit/s

100/100 Mbits 300/300 Mbits 500/500 Mbits 1/1 Gbits 100/100 Mbits 500/100 Mbits

IP Television

Famille - +

Ciné séries - +

Sport - +

La Totale - +

Desired activation date*

Duration of the contract 12 month 24 month 36 month

Total incl. VAT per month

CHF 89.-

Phone number

Phone number porting

Phone number porting New numbers to be allocated Porting the numbers of another provider

Current carrier*

List of numbers to be carried*

Comments

Invoicing

Invoicing

Receive the invoice*

email

post

Payment by

Inpayment slip (QR) LSV / Direct debit

General terms and conditions*

I declare that I have read the General Terms and Conditions of Telco Pack SA and certify that all the information provided by me in this form is true and accurate.
Your IP address is also saved.