UK Travel Talk - Business International Mobile Phone Hire in the UK Order Form

Business International Mobile Phone Hire Order Agreement
You may hire more than one TravelTalk Business International Mobile on the same order form provided the hire period is the same. To hire more than one Mobile for different dates please use separate hire forms.
How many TravelTalk Business International Mobile phones do you require?		(Insert figures)
TravelTalk Business International Mobile Hire 'Start Date'		Month - Day - Year
TravelTalk Business International Mobile Hire 'End Date'		Month - Day - Year
If you require to use your mobile outside of the UK please state which countries you require use in.
I wish the following PIN code, (4 digits) to be allocated if available...		This option only available for single orders. Leave blank if no preference
I understand that any unauthorised attempt to change the PIN Code allocated may lead to disconnection and/or financial charges against me. I also understand that, for my own security, the TravelTalk Business International Mobile number and PIN Code allocated are not released to any other persons by MC Communications (UK) or its Agents. I am solely responsible for informing friends, family and any other persons.
Your TravelTalk Business International Mobile will be delivered Free of charge to a UK address of your choice. Return of the TravelTalk Business International Mobile is by post using the pre-addressed packaging provided.
TravelTalk Business International Mobile UK delivery address	Line 1
	Line 2
	TOWN
	County
	Post Code
This order is subject to the full Terms & Conditions (Click to view)
I understand I will be charged for the TravelTalk Business International Mobile Phone ordered, in accordance with the current Price List (Click to view)
I wish to pay by the following credit/debit card...
Card Number		No spaces please Second box for Switch Card last 3 digits
Card expiry date		As shown on card
Issue Number (Switch only)
Cardholders name...		(As shown on credit/debit card.
Company...		(Optional)
Cardholders Address:		Address 1
		Address 2
Town / City
State /Province
Zip / Post Code
Country
Telephone Number
E.mail address
You will be informed of your TravelTalk Business International Mobile number by e.mail. Your PIN Code will be advised by separate e.mail. Operating instructions will be delivered with the phone.
Additional information. Or Any comments or remarks you have about this web site or the TravelTalk services are most welcome.
To send your order click the green 'SUBMIT' button now. An autoresponder e.mail will be sent to you confirming your order has been mailed. (If you do not receive an autoresponder e.mail then your ISP is not supporting e.mailing forms. We recommend you copy the text to a conventional e.mail to send to sales@traveltalk.net).
If you would prefer to fax this order, please print off now and do not 'SUBMIT'. Fax to the UK on +44 (0)23 9283 2069
To clear the Order Form and re-enter data press 'RESET'.
To exit the Hire Form Agreement without clicking 'SUBMIT' please use your 'BACK' button.

TravelTalk is a service provided by MC Communications (UK), 27 Victoria Road North, SOUTHSEA, PO5 1PL, England. Tel. +44 (0)7050 074 145 / +44(0)7719 219926 Fax. +44(0)23 9283 2069. E.mail Enquiries@TravelTalk.net

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