Mobile-Intenet Name* Mr.Mrs.Company Prefix First Last Address* Street Address Address Line 2 City ZIP / Postal Code Date of birth* Contact no.*Employment / EmployerNationalityDocument type* Swiss ID-Card Swiss passport Legitimacy card Working permit B Working permit C Working permit LDocument number*E-mail* Invoice via e-mail*YesNoThe delivery of an invoice by post is chargeable, 3 Fr. per invoice will be chargedTelephone number*I need a new telephone number from Telesonique MobileI keep my recent telephone number:SIM card*Standard / MicroNanoThe SIM card costs 40 Fr.Buying- and payment by installments agreement* In addition to the mobile subscription there is an installments agreement.If desired, please attach the installment payment agreement.* Drop files here or Tariff plan*Mobile S (19.95 Fr./month)Mobile M (29.95 Fr./month)Mobile L (34.95 Fr./month)Minimum contract term: The contract can be cancelled at anytime with 60 days notice. Please take notice of the conditions of the tariff plan and the applicable service charges. Value-added service numbers are blocked by default.I confirm that I am not under guardianship and that I am in full capacity to enter into this contract. By signing, I confirm that I understand and agree to the Terms and Conditions of Telesonique Ltd., and I confirm that I have supplied the correct and full personal information. I accept all costs for use of the SIM card under this contract. Furthermore, I acknowledge that Telesonique Ltd. has the right to block the SIM card should the credit limit of 100 Fr. be exceeded or bill payments delayed. This contract shall commence, subject to a positive credit check done by Telesonique, with the date of my signature. The monthly fee is charged after activation. Chargable communications incurred during the current billing period will appear on the next bill. If you sign up during the current billing month, the basic monthly fee will be charged on a prorated basis. Please send us the signed contract together with a valid ID copy (Swiss passport/ID card, legitimacy card or working permits B/C/L).