Internet Customer Enquiry Form
Internet Customer Enquiry Form
Name(s)
*
Surname(s)
*
Email
*
TIE/NIE/DNI Nº.
*
Address
*
Post Code
*
Telephone/Mobile Number
*
INTERNET PACKAGE DETAILS
What speed do you want?
*
What speed do you want?
300 Mbps
600 Mbps
1000 Mbps
Whatever is available
MOBILE PHONE PACKAGE DETAILS
SIM card available and New numbers active in a few minutes.
What Data package do you want?
*
What Data package do you want?
SMALL 50Gb
MEDIUM 100GB
LARGE 150GB
NOT REQUIRED
Comments - Let us know if you have any special requirements.
Preferred time for installation.
*
Preferred time for installation.
09:00-13:00 - Mornings
13:01-18:00 - Afternoons
Any time
Preferred Installation Date
Preferred Installation Date
/
DD
/
MM
YYYY
Data Protection / Protección de Datos
*
Data Protection / Protección de Datos
I agree to the sending and retention of this personal data by Tenerife Insurance Services SL as collaorators with various telecoms companies in compliance with The Data Protection Act. / Estoy de acuerdo con el envío y retención de estos datos personales para Tenerife Insurance Services SL como colaborador con otroas compañias de telecomunicaciones en cumplimiento de la Ley de Protección de Datos.
Type the letters you see in the image below.