• Please provide the following information, items marked * are required.  
• You MUST fill in a valid email address or your request cannot be processed.
• 0800 Numbers
• The cost to the caller of an 0800 is FREE and the owner of the number bear the cost of the call at 7.5p/min peak and 6.0p/min at all other times. 
• You will need to fill in and and return a simple order form which includes your customers credit or debit card details, as a security measure, no prepayment will be taken from the card. 
• Your customer may pay their monthly bill by either the card that you have submitted, or by cheque.  The order form will be sent to you by the method that you select on the request form below.
• 0845 Numbers
• Call to an 0845 are charged to the owner of the number at 4.0p/min peak and 3.0p/min at all other times. The Caller pays only the price of a Local Type Call. (Charge dependant on the callers local telecoms service provider).
• You will need to fill in and and return a simple order form which includes your customers credit or debit card details,  a connection charge of £25+VAT  plus and annual service fee of £36+VAT will be taken from your customers card.
• Your customer pay their monthly bill by either the card that you have submitted, or by cheque.  The order form will be sent to you by the method that you select on the request form below.
• 0870 Numbers
• We will re-target an 0870 number up to 3 times a year free of charge, thereafter an administration fee will be charged per change.

Please perform the following		Please select Set Target Numbers Change Target Numbers *
Customer Full Name		*
Title		Please select Mr Mrs Ms Dr Other
Position (if applicable)
Company Name (if applicable)
Address		*
City/town		*
County		*
Postal code		*
Country		UK Only
Contact Telephone number including STD Code		*
Resellers Fax
Reseller's E-mail		*
URL
I would like to target the selected services		Please select the service you require Please Select 0870 National Rate 0845 Local Rate 0800 FreePhone 0808 FreePhone 090X Premium Rate *
Please fill in your target numbers below. If you have requested an 08xx or 09xx number, the target number MUST be a LandLine number.(Not Mobile or Personal)
0870/0845/0800/09xx Number(s)		Landline Target Number(s)
Number 1		Target Number 1	*
Number 2		Target Number 2	(optional)
Number 3		Target Number 3	(optional)
Number 4		Target Number 4	(optional)
Number 5		Target Number 5	(optional)
Number 6		Target Number 6	(optional)
Number 7		Target Number 7	(optional)
Number 8		Target Number 8	(optional)
Number 9		Target Number 9	(optional)
Number 10		Target Number 10	(optional)
Useage		Business Domestic Business & Domestic *
Resellers ID		*
If the number is for business use please complete the following where applicable.
VAT Registered		No Yes
VAT Number
Press 'Order Now !'  to submit the form.  Please press ONLY once.