Broadband Internet via Satellite
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   Order form rental.
First name :  
Last name :  
Company name :  
Address :  
Postcode :  
City :  
Province :  
Country :  
Phone number :  
Mobile number :  
Email address :  
ID or Tax number :  
   
Card number :   (Credit or Debit card).
Name on the card:  
Expire date :   (mmyy)
Security code  :   (last 3 digits, backside of your card)
   
   
   
Address to install :  
City to install :  
Postcode to install :  
Province to install :  
Country to install :  
   
   
   
Start date :  
End date :  
   
   
   
Comment :  
   
   
Your SatNav/GPS Location
 It will be helpful for our engineer to find your
 location if you can send us the following
 information.
 

GPS/SATNAV :		  Longitudes : ˚-'-"
 Latitudes    : ˚-'-"
 
 
Please note, we need ALL above information
to activate your account.

Submit this form first and than sign order confirmation (next page, after submit) and send it by fax or email (scan).

 If self-install, we recommend contacting a local  professional
vsat installer with Ku/Ka band experience and basic
computer/network knowledge !