Connection application form

 

Company name (if applicable)

Title

If other, please specify

First Name

Surname

Address including postcode

Telephone

E-mail

Type of computer & operating system
ie PC/Mac and Windows 95/OS8

Will you be using our connection in conjunction with Manx Telecoms Unmetered Internet Access

Your email address will be in the form of user@iom.com. user should be substituted with the prefix of your choice (subject to availability). The name can include upper and lower case letters, numbers and full stops. Note that spaces are not allowed. For individuals we recommend that you use your first initial, followed by a full stop, followed by your surname. For example F.Bloggs@iom.com.  Please specify the name(s) you require

Our Helpdesk will call you to talk you through configuring your PC alternatively we offer an option where an engineer can visit your premises and install and configure your system for an additional charge.  Please choose from the options below.

Please arrange for your Helpdesk to call me to assist with the configuration of my PC

Please arrange for an Engineer to attend at my premise to carry out the configuration of my PC.  I agree to pay the £40.00 plus VAT installation charge.

There are two options to pay for your connection. Annually in advance or monthly by direct debit.  Please choose your preference from the following:-

Please invoice me for my first years subscription in advance £99+VAT (£116.33)

I will pay by monthly direct debit.  Please email me the form for completion.  This option entitles me to the first two months free of charge, however, I understand that I will have a minimum contract period of 14 months

Thank you for your application.  If you need more email prefixes setting up please contact us.