Order Form

    Section 1 : Customer Details

    First Name
    Last Name
    Company Name (if applicable)

    Landline Telephone Number
    Mobile Phone Number
    Email Address

    House Name/Number
    Street
    Village/Town
    Postcode
    What3Words Location (required)
    https://what3words.com/

    Section 2a : Broadband Service

    Please select your desired broadband tariff.

    Please select your desired contract length.

    I would like Esben Broadband to supply a router so I can use the broadband service - more info here
    (do not select this option if you already have a router compatible with ethernet PPPoE services).
    £39.99 one off charge

    I would like to order a static public IP address with my service. (this is required when running a server or CCTV service on the connection) .
    £6.00 per month rental

    Section 2b : Phone Service

    Evening & Weekend Calls - All UK geographic and mobile calls are included in this package at off-peak times, non-geographical and premium calls are charged at the standard or advertised rate.
    £8.00 per month

    Unlimited Call Package - All UK geographic and mobile calls are included in this package at any time of the day, non-geographical and premium calls are charged at the standard or advertised rate.
    £24.00 per month

    Please select this option if you wish to migrate your existing phone number over to Esben Broadband, if not selected you will be given a new phone number with your order.

    Section 3 : Installation Guidelines

    Step 1

    Once your order form is accepted and passed to the installation team following initial line of sight survey.

    Step 2

    The installation team will call you to book a suitable installation date and time (AM or PM appointment) and will take the installation fee of £129.99 inc. VAT

    Step 3

    On the day of installation the engineer will visit your premises to fit the equipment and configure the provided router and associated equipment if ordered. Upon completion the engineer will ask you to sign the worksheet to confirm you are satisfied, following completion. The engineer will also give you the invoice and card receipt for the £129.99 inc. VAT installation fee for your records.

    Step 4

    Your service will start, you will be emailed a digital direct debit form to complete and submit online. All service invoices will be emailed directly to you with the invoice dated the last day of each month with collection by direct debit on or around the 3rd of the following month. Any pro rata charges will be calculated and added to your first invoice.

    By submitting this order you accept the terms and conditions of the service. Please click HERE to view.

    Your personal information will only be shared with organisations where we are required to do so for operational or legal purposes and will never be given to 3rd party companies for marketing purposes. Esben will use your information to contact you about information pertaining to the subscribed services. For example we will notify you of service statuses, not limited to disruptions and outages, via e-mail or text message.

    In line with GDPR and our Privacy Policy/Statement, we would like permission to contact you from time to time via email marketing to notify you of offers or promotions relative to your interest in our services, please select one of the following options on whether you would like to receive these messages.

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