Residential with GBVS

Residential contract for Broadband for Surrey Hills Ltd (B4SH) Fibre Optic Broadband Service

Please complete, electronically sign and date this form to confirm that you have entered into a contract with Broadband for Surrey Hills Ltd and accept our Terms and Conditions.

  1. All equipment remains the property of Broadband for Surrey Hills Ltd.
  2. Monthly service payment to be made by Direct Debit.
  3. Your usage is to be in line with the B4SH Acceptable Use Policy and Terms and Conditions detailed on the Documents Page.
  4. The minimum period of contract is one year from the live date.
  5. After one year the contract will automatically renew for a one-month period on a monthly basis, unless notified as per point 6 and 7 below.
  6. You can terminate your contract by giving B4SH one month’s notice in writing.
  7. B4SH can terminate your contract by giving you one month’s notice in writing.
  8. B4SH reserves the right to terminate the service under our standard Terms and Conditions.

I/we accept the Terms and Conditions under which B4SH Fibre Optic Broadband Service is provided to me/us and agree to pay the router set up fee and monthly service fee as indicated.  Full details and costs can be found on the B4SH website.  I/we agree to accept future communications from B4SH by email.  You can unsubscribe from our newsletter at any time.  I/we have read and agree with B4SH’s Privacy Notice. (detailed on the Documents Page.)

For help with completing the form and summary of charges, please read theses notes.

 

Your Name (required)

I/we accept the Terms and Conditions under which B4SH Fibre Optic Broadband Service is provided to me/us and agree to pay the router set up fee and monthly service fee as indicated. Full details and costs can be found on the B4SH website. (required)

I/we agree to accept future communications from B4SH by email. You can unsubscribe from our newsletter at any time. (required)

I/we have read and agree with B4SH's Privacy Notice. (required)

Gigabit Voucher Scheme

I/we request that B4SH apply on my/our behalf to DCMS (Department for Digital, Culture, Media and Sport) for a Residential/Business Gigabit Voucher and agree to abide by the terms of the Gigabit Voucher Scheme (GBVS). https://gigabitvoucher.culture.gov.uk/ I understand that this will mean B4SH passes my personal details to DCMS(required)
Yes

My current broadband speed are (required). Test with https://speedtest.b4sh.net/

Connection Costs

If you live in Post Codes covered by the GVS your Router setup costs should be covered by the scheme. To check see https://www.gigupanddown.net/gvs-post-codes/

If I/we have to pay the initial router / connection fee I/we agreed to pay the fee by. (required)

Please complete and electronically sign:

Your Email (required)

First Line of address

Street or Road

Your Town (required)

Your PostCode (required)

Your Phone (required)

Your Mobile

Signed (required) Use mouse or finger on mobile

Date (required)