QUESTIONS? CALL: 0800 229 4011 LIGHTSPEED Kit Virtual "*" indicates required fields Step 1 of 6 - Customer Details 16% What is your Lightspeed broadband numberNumber1* -Number2* Number3* Number4* Number5* Number6* Please do NOT cancel your existing service until you have placed your order with us. The number and account has to be active for us to port/ buy the number and transfer it.* Agree Name* First Name Last Name Phone NumberEmail Address* Mobile Number*Address* Street Address Address Line 2 City Post Code Installation Location AddressIs the installation location address the same as billing address?* Yes No Name* First Name Last Name Phone*Address* Street Address Address Line 2 City Post Code Emergency Location Information To ensure that accurate and precise location information is presented to the 999 operator (or even an organisational internal safety desk) when an emergency call is made from a VoIP telephone. The reason that the automatic provision of reliable location information is important is to cater for emergency situations where the caller is: Unable to speak; Disoriented; or Has difficulty making themselves understood due to language or dialect issues. Moral obligations: Irrespective of the regulatory and legal obligations, all organisations and home users have a moral duty of care to provide maximum protection for their workforce, family and visitors to their premises. Therefore, ensuring that precise and accurate location information is delivered with a 999 call from their private telephone network is simply the right thing for an organisation to do. Doing the right thing ensures that anyone in their workforce who is in the unfortunate situation of having to make an emergency call would receive the necessary assistance as quickly as possible. This can be changed after the initial installation by visiting www.keep-in-touch.uk/support. If there was a broadband outage or a power cut at your home, do you have another way of contacting the emergency services, such as a mobile phone?* Yes No Our Kit Product is provided over your Internet. We need to let you know that if your broadband loses connectivity or there is a power failure, you won’t be able to make or receive any calls via your landline phone. Any security or care services connected to your broadband services won’t work either. Is your Door Intercom, Home Alarm, Sky Satellite Dish or any Social Care Services connected to your existing home phone line?* Yes No Our Kit Product is provided over your Internet. We need to let you know that if your broadband loses connectivity or there is a power failure, you won’t be able to make or receive any calls via your landline phone. Any security or care services connected to your broadband services won’t work either. Review Your Order Service Order Monthly Rental (Minimum 12 month term) Standard KIT Licence £4.80 Monthly Total* Price: £ 0.00 Transfer My Existing Number* I Would Like A New Number Transfer My Existing Number +£15.00/once-off Your Existing Landline Number*Once-Off Costs* Price: £ 0.00 Enter referral code if you have one This agreement comprises of the following sections: Customer Information, Service Order and Terms of Service. By submitting your order you confirm your acceptance of the contract. Please note that customers not paying by direct debit there will be an administration surcharge of £5 on every invoice paid by alternate means.Terms of service* I confirm that I have read and agree to the Terms and Conditions Pre-contract and Quotation* I confirm that I have read and agree to the Pre-Contract Summary and Quotation Pre-contract and Quotation* I confirm that I have read and agree to the Pre-Contract Summary and Quotation Full Name of Signatory* Fidelity Group Limited T/A Kit would like to add you to its marketing database so that they can send you bulletins, monthly newsletters and other news which will be relevant to you (from time to time).* Yes No PhoneThis field is for validation purposes and should be left unchanged.