Valid until 30th June 2015

1. CUSTOMER DETAILS

2. TECHNICAL CONTACT DETAILS

3. SERVICE REQUIREMENT - Please check availability with your account manager and circle the box to indicate the service required (+VAT)Please see ADSL info attached sheet – page 7

‘‘Normal Business Use" is defined as traffic that has a bursting profile, i.e. not using the full bandwidth all of the time, with the data being downloaded in the normal conduct of the customer’s business.’ Examples of classes of business or traffic profile that are not considered normal business use include internet café’s, peer to peer file sharing, persistent streaming video or day time offsite backup. If in Spitfire's opinion usage is not normal business use, customer will receive 1 month’s notice to reduce traffic levels and/or alter usage to what in our opinion would constitute normal business use.

5. TOTAL CARE

7. ROUTER/ MODEM

9. SECURITY LEVEL

Please tick your choice of security level. If opting for password protection, please confirm a choice of password.

Password Protection Password:	Please provide a password for your account. No changes or requests for information will be actioned unless the person making the request can state the password given.
Fax Only Protection	Changes or requests for information must be made by fax on company headed paper (or in the case of an individual a copy of a utility bill that identifies them), each time a request is made to change existing service or information is required regarding the service.
No Security	Anyone claiming to represent the customer can request passwords and changes to the ADSL2+ service by phone, email or fax. This is the default security level. Spitfire will take no action to verify the identity of the person making the request or verify that the request is genuine.

10. IP ADDRESSES -IPv4
If you require IPv4 please complete the following section

If this is replacing an existing Spitfire Circuit, would you like to retain your DSL connection, username, password and IP address configuration? Please note that port forwards on old Spitfire managed routers will NOT be automatically configured on any new routers.

Yes – Go to page 6 No – Please fill out the below

A single Public IP Address is free of charge and is normally used in conjunction with NAT/PAT and port forwarding to provide 253 private IP addresses on the customer LAN.

Requests made at a later date will incur the same rental charge plus a £25.00 set-up charge.

If public IP addresses are supplied, the details on this form will be used to populate the publicly available RIPE database.

PLEASE CHOOSE EITHER NAT OR No -NAT
q NAT 1 public static IP address, 253 Private IP addresses on LAN	Spitfire Managed Router Defaults: LAN router IP address is 10.0.0.254/24 DHCP is turned ON The DHCP scope is 10.0.0.1 – 10.0.0.253 NO port forwards are enabled. To instruct us otherwise please choose and tick from the options below:
	q Disable DHCP
	q My own choice of private IP addresses to be used: Router IP address IP address range to be served by DHCP.	q Port forwarding: Port number IP address 25 other (please advise)
q No- NAT Public IP addresses on LAN	For customers who require a No-Nat Configuration there is a standard charge of £1 per month per IP address used. As in any subnet, the first IP address is used for the subnet ID and the last for the broadcast ID, the number of usable IP addresses is therefore below. Note that a usable IP address is defined as that available to be used for any router or device including the Spitfire or customer supplied main router. Therefore the monthly charge and the number of usable IP addresses is as follows: /30: £4 per month: 2 usable IP Addresses /29: £8 per month: 6 usable IP Addresses /28: £16 per month: 14 usable IP Addresses			Please choose which you require: /30: £4 pm /29: £8 pm /28 : £16 pm
	Will you be returning existing IP address space? If so please state addresses being returned.		YES / NO
	What equipment will be used and how will it use the requested address space? Example below: Equipment-name: Firewall Manufacturer-name: Cisco Model: ASA 5505 Quantity: 1 IP address Please continue on separate sheet if necessary or submit a RIPE-584 request providing network description and diagrams: http://www.ripe.net/ripe/docs/ripe-488.html The RIPE-488 form has now been replaced by RIPE-584 form		Equipment-name: Manufacturer-name: Model: Quantity:
			Equipment-name: Manufacturer-name: Model: Quantity:
			Equipment-name: Manufacturer-name: Model: Quantity:

11. IP ADDRESSES – IPv6

Do you require an IPv6 Address?

Yes / No

12. DOMAIN/EMAIL/WEB HOSTING

Do you require any Domain, email or web hosting? If yes please complete supplementary form on page 10 (Sections B1 – B5).

Yes / No

13. TERMS & CONDITIONS

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  The above information may be used for credit checking purposes.
  
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  ADSL2+ speed can vary & can be unreliable for the first 10 days, please see page 5.
  
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  The quoted ADSL services are intended for fast, high quality provision of internet access and email for business use and are subject to Spitfire’s Fair Usage Policy.
  
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  All Orders are subject to Spitfire’s full terms and conditions, available on our website: www.spitfire.co.uk under Service Level Agreements, ISP Services.
  
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  All services regardless of usage caps are subject to being used for ‘normal business usage’.If in Spitfire's opinion usage is not normal business use, customer will receive 1 months notice to reduce traffic levels and/or alter usage to what in our opinion would constitute normal business use.
  
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  If traffic profile is not acceptable or usage moderated at the end of this period, Spitfire will throttle usage to an acceptable level..
  
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  Unless otherwise indicated all usage caps are on a total monthly usage basis.
  
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  Please note usage cap is based on 24/7 calendar month usage.
  
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  Goods remain the property of Spitfire Network Services until paid for in full.
  
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  Payment Terms - Monthly in advance. Rentals will be invoiced and paid in advance of the service period. Direct debit payment for your monthly invoice will be taken on or after the 5^th last working day of the calendar month of invoicing.
  
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  Minimum term 12 months with 1 months notice required for cancellation thereafter.
  
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  If Primary circuit is ceased within minimum term the customer will be liable for 50% of outstanding charges due over the remainder of the minimum period. These charges will be payable immediately.
  
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  If the Primary circuit is ceased at any stage, the corresponding Back up circuit will also be ceased unless the customer requests the Back up circuit is upgraded to a normal circuit. If the customer requests a back up circuit is upgraded, standard circuit pricing will apply and a new contract will incept. New contract terms will apply except there will be no connection charges and a new minimum period of 1 month will apply.
  
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  Please note that the free back up circuit will be charged at the normal price for a standard circuit (£29.00 per month for ADSL2+ Standard) with an equivalent credit to bring the cost down to zero.
  
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  All prices subject to VAT.
  

Please arrange for ADSL2+ to be installed as per the above order. I acknowledge that the above details are correct. I understand that any changes to the above will incur extra charges.

It is the responsibility of the end user to cease any circuits or services, which become redundant as a result of the provision of the new ISP services provided by Spitfire.

Customer authorised signature: ………………………………………… Date: ………………………………………………………. Customer name (please print): …………………………………………. Position: ………………………………………………….

Please note the above information may be used for credit checking purposes. In addition we may ask for further information if required.

ADSL2+ information sheet – please read
Product Types

Spitfire offers ADSL2+ using BTW (BT Wholesale) and LLU (Local Loop Unbundled) networks as this allows us to offer ADSL2+ across a much larger geographical footprint and with a wider product range than using BT Wholesale alone. The product types and speed which we provide depend upon which network is available at your local exchange as follows:

It is important to note that these are maximum speeds and are very dependent on distance and line quality, with a rapid decrease in speed as the distance to the exchange increases. In addition the speed achieved may be liable to change over time if line quality improves or deteriorates. Most users will not be able to achieve the speeds mentioned above as you need to be within 500m of your telephone exchange using perfect cable. Some users may find their speed is no better than was available using standard ADSL MAX, and in very rare instances may even be reduced when compared to fixed bandwidth ADSL.

Spitfire highly recommends a back-up ADSL circuit to help ensure that you have Internet connectivity should your primary circuit fail. We are currently offering free ADSL back-up on all 24 month contracts with ADSL Premium or Annex M circuits. Please contact us if you would like to take up this option to obtain the correct order form.

IMPORTANT INFORMATION REGARDING ALL BACK-UP CIRCUITS

One off charges: Managed domain name registration: £50.00 for .com domains & £25.00 for .co.uk domains. (Registration fees apply for 2 years). Managed domain name transfer: £50.00 Monthly Rental: £2.00 per domain pm.