ULLs Name* Mr.Mrs.FamilyCompany Prefix First Last Address* Street Address City ZIP / Postal Code Date of birth* Contact no.*Employment / Employer*Nationality*Document 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 chargedInternet WLAN Router (WiFi)* WLAN router (FREE worth 189 Fr.)In case of a cancellation the WLAN router has to be returned. Otherwise a fee of 99 Fr. will be charged.Options:*Phone-Line & Net 10/1 Mbit/s (ULL+) 49.35 Fr./monthPhone-Line Classic (ULL) 25.35 Fr./monthWith ISDN only the main number can be transfered. Fixed line SMS are not supported. The actual DSL speed depends on your line (e.g. on the distance to the nearest telephone switchboard) and can be lower than stated. In the case an electrician would have to be consulted for the activation, a cost sharing of 90 Fr. will be charged and would have to be paid in advance. Contract duration 12 months. The contract has to be cancelled one month before it ends. TalkTalk will charge an early termination fee of 300 Fr., should the customer not comply with the cancellation notice requirements.I hereby authorize Télésonique SA*To cancel the below-listed participant connection and/or participant line with my current service provider and to initiate a transfer of said connection and/or line from my current service provider I wish to have my telephone conneciton including phone number(s) at TelesoniqueMy fixed network number(s):*I wish to have my telephone connection including (a) new phone number(s) at Telesonique I wish to have my telephone connection including (a) new phone number(s) at TelesoniquePredecessor:*Cancellation with my previous provider*should be (tick box):on this date (min. 10, max. 90 calendar days from today)* on this date (min. 10, max. 90 calendar days from today) as soon as possible* as soon as possible** Important note: The switchover will take a minimum of 7 calendar days after receiving the signed registration form If I use the services, which presupposes a contract for the telephone connection, they will be automatically cancelled on the date of activation (e.g. Internet access, Voice over IP, subscribed special rates). This may result in my previous providers billing me additionally for contractual opt-out charges. To avoid these additional costs, I must cancel all additional contracts in good time, i.e. by complying with notice periods and canceling the phone line of my previous providers by the latest to end on the date of activation. Telesonique will inform me later of the precise date and time of the switchover. Provision of service by my previous provider will end on this date.The General Terms and Conditions (GTC) of Telesonique Ltd. apply. With my signature, I acknowledge that I have received, read and accepted the GTC, the Internet use guidelines and the subscription conditions for Call & Surf. I also confirm that the details I have given are correct. This Call & Surf registration form does not release me from obligations made to my previous provider (such as minimum term of contract, payment of bills). The actual speed depends on my telephone line (e.g. distance to the nearest exchange) and may be slower than the listed speed. I will be informed of the precise date of activation of Call & Surf service with the order confirmation. This contract shall commence, subject to a positive credit check done by Telesonique, with the date of my signature. Billing begins at the time of activation of the service(s) and is at the same time the beginning of the minimum contract period. Please send us the signed contract together with a valid ID copy (Swiss passport/ID card, legitimacy card or working permits B/C/L).