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New Sky TV Customer Form

Trade Customer

Contact Telephone No

Aerials 4U

SAS Account No

01276 473800

Trade Contact Name

AER011

Order Request Date

Hannah Marsh

SAS Agent Name

04/06/2015

Mike
Commission with
HD Pack

Box

Offers

End Date

Installed by

Sky+ HD Box

Free Box, 10 set up cost or 49 no HD,


See SAS for current offers

7/23/2015

8/20/2015

55.00

2TB Box

149, One off set up cost may apply,


See SAS for current offers

7/23/2015

8/20/2015

55.00

NEW SKY CUSTOMER ORDER DETAILS


Customer Title + 1st Name + Surname (In Caps)

Customer Home Tel

Customer Full Address + Town + Post Code

Customer Mobile Num

Customer Date Of Bir


Town:
Post code:

County:

SKY HD TV PACK SELECTION


Family Bundle
Sky Multiscreen

BASIC

MOVIES

36.00

58.25

SPORTS
66.75
11.25

Additional Notes :

Account Number

(12 Digits)

Date Order Placed

Primary Card Numbe

The Customer would like to join the Sky Telephone and Broadband Network and has
requested a call from an authorised Sales Agent
Sky + HD Box Label Here
FSD Box Label Here

Trade Representative
Signature + Date

YES

Activation Da

Claim Date

When requesting for an order to be processed, the Company and the Installer agree to the Terms & Conditions of Installation
The Company and the Installer confirm that the Customer has been provided with the Sky Key Facts and the customer agree
months minimum contract with Sky

When requesting for an order to be processed, the Company and the Installer agree to the Terms & Conditions of Installation
The Company and the Installer confirm that the Customer has been provided with the Sky Key Facts and the customer agree
months minimum contract with Sky

SAS Credit No

SAS Credit Date

Up front Payment

Customer Bank Sort Code

Customer Bank Account No

Customer Password

S Account No
AER011

S Agent Name
Mike

mmission with
HD Pack
55.00

Commission without
HD Pack

20.00

55.00

N/A

stomer Home Tel

stomer Mobile Number

stomer Date Of Birth

SPORTS

MOVIES & SPORTS

66.75

75.75

mary Card Number

(9 digits)

YES

NO

Activation Date

Claim Date

Conditions of Installation and Offer.


and the customer agrees to a 12

front Payment

stomer Password

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