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residential
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Holder's address
Holder's address
Mr.
Mrs.
Contact
Contact
Pack
Pack
Pack
Business Pack 5+
Business Pack 4+
Business Pack 3+
channels
-
+
Microsoft Teams
International calls
according to rates
150 minutes
500 minutes
1'000 minutes
1'500 minutes
2'000 minutes
National calls
5'000 minutes
10'000 minutes
15'000 minutes
20'000 minutes
Internet connection
100/100 Mbits
300/300 Mbits
500/500 Mbits
1/1 Gbits
100/100 Mbits
500/100 Mbits
Adresse IP
Dynamic
1 fixed IP (1 usable)
4 fixed IP(s) (2 usable)
8 fixed IP(s) (6 usable)
16 fixed IP(s) (14 usable)
IP Television
Famille
-
+
Ciné séries
-
+
Sport
-
+
La Totale
-
+
Mobile subscription
M
-
+
L
-
+
XL
-
+
XXL
-
+
Desired activation date*
Duration of the contract
12 month
24 month
36 month
Total incl. VAT per month
CHF
89
.-
** mobile subscriptions included in the price. The mobile offer will be sent separately.
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.
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