permaNET.ie - Order Form

For existing permaNET customers: Upgrade to permaTEL Bundle
First Name:*		Address 1:*
Surname:*		Address 2:
Email:*		Town/Village:*
Phone:		County:*
Additional Info/Directions Please provide your existing Order Ref. No. or details of your location.


Please choose the service you require.*
Name	Specifications	Monthly (incl. vat)	Install Fee (incl. vat)	Select
permaTEL Home	• 1 MB max. Download Speed • 256 KB max. Upload Speed • 10 GB Traffic Quota	€ 45.00	€ 0.00
permaTEL Home Express	• 3 MB max. Download Speed • 512 KB max. Upload Speed • 30 GB Traffic Quota	€ 50.00	€ 0.00
Please choose the handset if you require one:
I accept the Terms and Conditions

For support & information call
1890 - 818 599