Vodafone Home connection application form. Vodafone Power to you

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1 Vodafone Home connection application form Vodafone Power to you

2 Vodafone Home connection application form Agent name: Z /E / Customer details and connection information Main phone number for service UAN/CRN Current provider Customer account number Vodafone mobile number Vodafone customer number Full name Address *Current number Alternative contact number *Current service provider Prepay Pay monthly *No. of mobiles in the household Prepay Pay monthly Value add-ons Unlimited international landline Unlimited international mobile Unlimited international landline and mobile Unlimited Vodafone mobile calls Unlimited calls to all Irish mobiles The extras Engineer appointment Preferred day/s AM/PM appointment Engineer install (required) Walk away working Powerline F-secure HomeView Extension kit Agreement date: Contract length: 18months Please tick Service details Time at address Occupancy status Alternative/work number address Bill preference Date of birth Service options years / months dd / mm / yyyy Broadband only. No landline, internet only Simply Broadband PSTN based services such as monitored alarm / some TV services may will not be compatible Signature Home phone and broadband Family Essentials Worry Free Family Broadband speed check Line prequalifi cation Home phone only Simply Talk Would you like us to bring over any ancillary services Yes No Transfer all Yes No Non WLR Customer (please list) Name (please print) Authorised signature Date Up to 24MB Up to 24MB Time Fibre Fibre dd / mm / yyyy Mbps Initial From time to time Vodafone and its agents may contact me in writing, by telephone or means of or text message regarding specific offers or information on products or services or market research. By ticking in the relevant box I have indicated to Vodafone that I do not wish to be contacted by that method and Vodafone has recorded these as part of my application. I hereby acknowledge that I accept and agree to be bound by the terms and conditions in relation to Vodafone s Landline and Fixed Broadband services and in relation to any selected Add-On (the Terms and Conditions ). I further acknowledge that a copy of the Terms and Conditions has been provided to me prior to signing this contract and that I agree to be bound by such. Acceptance of this application is subject to status and a satisfactory credit check which may involve third parties. If successful, the order will be initiated immediately with the Losing Operator. Data Protection Notice The information in this form may not be used for any purpose other than that for which it is intended. I understand that services provided by Vodafone may be different from those services provided by the Losing Operator. You have my authority to disclose such information regarding the numbers quoted above. By signing this form, I authorise Vodafone to cease my Fixed Broadband service with the Losing Operator in respect of the above telephone number(s) in conjunction with the successful provision of Fixed Broadband from Vodafone. I authorise my current provider to activate the above changes on my behalf. I accept that I am responsible for the discharge of any obligations in reference to the service provided by the Losing Operator and I wish to proceed with the provision of Fixed Broadband service with Vodafone. I understand that I may only avail of the transfer of Fixed Broadband service to Vodafone once I have discharged any obligations in reference Text Call Post to the service provided by the Losing Operator. I accept that there may be some downtime in conducting this change. I also authorise my current provider to transfer the designated voice telephone lines and their associated call management services to Vodafone. I understand that my current provider will activate a facility so that all calls on these lines will be handled by Vodafone and this will override any alternative service provision options already in place. I am authorised to act on behalf of the household or company in this matter. To ensure the efficient provision of facilities such as directory enquiries and telephone line fault handling, my current provider retains the customer name, address and telephone service details. This data is also passed to Vodafone. I consent to the retention and sharing of such data in order for service to be provided to me. I authorise my current provider to transfer all or only those lines/ancillary services listed above. You can amend your marketing communications preferences at any time by calling Vodafone on or log onto vodafone.ie For detailed Terms and Conditions see vodafone.ie Please note any change to your marketing preferences can take up to 7 working days to take effect.

3 Simply complete this mandate for either bank or credit card direct debit and return it to Vodafone Ireland Limited, MountainView, Leopardstown, Dublin 18. Please pay your current Vodafone bill in the usual way. When we receive the fully completed mandate, we will set up your account for the direct debit payment option you have selected on your next Vodafone bill. Your bank or credit card account is debited fourteen days from the issue date of your Vodafone bill. Customer details Your name and address Contact number Option 1 SEPA Direct Debit Mandate Creditor name and address: Vodafone Ireland Limited, MountainView, Leopardstown, Dublin 18. Creditor identifier: IE82SDD Bank details Customer name on Bank or Building Society Account: (Deposit accounts not acceptable)* International Bank Account Number (IBAN)* Bank Identifier Code (BIC)* Date* / / Signature 1* Signature 2* Upon set up of your SEPA direct debit, a confirmation letter will be sent to you confirming your account number and your Unique Mandate Reference (UMR) UMR SEPA Direct Debit Mandate By signing this mandate form, you authorise Vodafone Ireland to send instructions to your bank to debit your account, and your bank to debit your account in accordance with the instruction from Vodafone Ireland. As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited. Your rights are explained in a statement that you can obtain from your bank. Option 2 Continuous Credit Card Direct Debit My/Our Visa/Mastercard credit card no.* Expiry date* Date* / / / Cardholder signature* Signature 2* Customer acceptance Name (print) Authorised customer signature* Title Sales agent name (print)* We hereby acknowledge that we accept and agree to be bound by the Terms and Conditions overleaf. We further acknowledge that a copy of the Terms and Conditions have been provided to us prior to signing this contract and that we agree to be bound by the Terms and Conditions. Acceptance of this application is subject to status and a satisfactory credit check which may involve third parties. Date DD/MM/YY *Required field

4 Vodafone Home broadband Customer order quality checklist Welcome to Vodafone Home broadband. To help us maintain the highest level of customer service and ensure that your order is processed properly, please take a moment to read over this document. If you re happy that the process has been followed correctly, simply fill out the checklist and sign it: Are you in a contract with your current provider? Yes No I understand that I have signed an agreement to change from my current landline provider to Vodafone at Home. Yes No Do you accept that any charges and/or termination fees between you and your current provider are your responsibility? Yes No I have committed to an 18 month contract term with Vodafone for my landline/broadband services. I understand that I have ordered broadband which is subject to availability and that speeds may vary subject to a number of conditions. I confirm that I am the current telecom account holder at the stated address. I understand that payment by direct debit is mandatory for Vodafone Home customers. I also understand that I can pay by other means before the direct debit collection date if I wish. I understand that all ancillary services associated with my lines will also migrate to Vodafone Home. Broadband only Simply Broadband Standalone broadand services will not have an active landline which means PSTN based services such as monitored alarm/some TV services. Signature Home phone only Simply Talk Home phone and broadband Family Essentials Worry Free Family I understand that it can take up to 10 days for my phone services to switch over and up to 15 days after that, for my broadband to change over. For non WLR customers and/or where there are no active lines, timelines may be longer. I confirm that I have ordered a new modem. Yes No Price Engineer Install. Yes No Price I have ordered walk away working. Yes No Price I have ordered Vodafone Powerline. Yes No Price I have ordered Vodafone F-secure. Yes No Price I have ordered an Extension Kit. Yes No Price I have ordered Vodafone HomeView. Yes No Price I m providing the following Vodafone mobile number to avail of exclusive offer Did the agent show you an official badge and documentation? Yes No I confirm that the My Vodafone representative answered all my questions and they presented themselves in a courteous, informative and professional manner. If you have any other feedback on the agent, please feel free to consumersalesquality.ie@vodafone.com Package Price Contract length Customer name Customer signature Agreement date DD / MM / YY Customer landline number Vodafone representative name Signature

5 Now you re ready to enjoy Vodafone Home What happens next: 1. If you ve ordered a new modem, we ll deliver it to you by special delivery 2-3 days before your broadband service goes live. 2. We ll send you a welcome letter to confirm your order. 3. We ll send you an or letter confirming when your Vodafone Home has gone live. Important notice for setting up your modem Using a new modem from Vodafone If you have ordered a new modem from Vodafone, it will come with a step by step guide to help you get started. You do not need to enter a username and password, you simply plug and play your new Vodafone modem. Using an existing modem If you are connecting to Vodafone using your existing modem, you will need to change your username and password on the modem in order to access the internet. When your broadband goes live, you ll receive a letter containing instructions on how to do this. When prompted, enter your username and password as follows: Username: vodafone@vodafone.ie Password: broadband Please keep the above login details safe for when your Vodafone broadband goes live. If you have any queries, please don t hesitate to contact us: Simply call 1907 to speak with our Best Start team from your landline or mobile. Vodafone pay as you go customers can dial 1747 and you can always pop us an to athome.ie@vodafone.com To manage your account, view your bills online and more, log onto our self care site: Vodafone at Home customers log onto My Vodafone at Home at vodafone.ie/athomeselfcare

6 Terms and Conditions The following is a summary of the Terms and Conditions that shall apply to the services being provided. The full Terms and Conditions are available at vodafone.ie certain Terms and Conditions you sign up to will be guaranteed for the duration of your contract (and if changed you shall be entitled to terminate) whereas others will change from time to time. (a) The General Terms and Conditions and certain other Terms and Conditions identified in your Service specific terms will be deemed Core Terms and Conditions. The Core Terms and Conditions can only be changed by Vodafone giving you thirty (30) days notice. In the event of any such alteration, you shall have the option to terminate the Service without penalty during that 30 day notice period. (b) Any services which we have not committed to providing you with for the entire duration of your contract with Vodafone will be subject to On Demand Terms and Conditions. If you have accessed specific On Demand Services within the previous 30 days then changes to these specific services will be notified to you in the same way as changes to Core Terms and Conditions. For the avoidance of doubt you will not be entitled to terminate your contract for a change to On Demand Terms and Conditions. The following services shall be considered On Demand Services: i. Content services; ii. /Storage services; iii. Directory Enquiry rates and services; iv. International Call rates and services; v. Premium Rate Services. 1. Terms and Conditions 1.1 This Agreement shall commence on the Commencement Date and shall continue for the Minimum Term of the applicable Service and thereafter shall continue on a month by month basis until terminated. 1.2 Connection to the Network shall be conditional on the customer:- (a) maintaining a satisfactory credit rating and providing Vodafone with such financial security as it requires; (b) providing valid proof of identity/ address and such evidence of residency in Ireland as required; (c) truthfully and accurately completing the application form and providing such other information as Vodafone may request. 1.3 Any waiver, concession or extra time permitted by Vodafone is limited to the specific circumstances in which it is given and does not affect the rights of Vodafone under this Agreement in any other way. 2. Definitions 2.1 Access Provider means the company which provides the Customer s telephone line(s) and associated telephone number(s), from which Vodafone rents such line(s) and number(s); 2.2 Commencement Date means the date when Vodafone accepts the Customer Application and connects the Customer to the Network. Vodafone will communicate an estimated Commencement Date to you in advance but this date is not guaranteed; 2.3 Minimum Term means the term as set out in the Application Form commencing on the Commencement Date unless otherwise agreed between the parties; 2.4 Termination Charges means the termination charges applicable to each of the Services. 3. Services 3.1 In supplying the Services Vodafone will use its reasonable skill and care but cannot guarantee fault free performance. Vodafone does not warrant that the Service will be suitable for specific Customer applications or that the operation of the Service will be uninterrupted or error-free. Vodafone does not warrant that the Service will support or be compatible with any applications or other services which the Customer uses in conjunction with the Services. 3.2 The Customer agrees that from time to time it may be necessary for Vodafone to temporarily suspend the Service during periods of repair, essential maintenance or alteration or improvement to Vodafone s network or otherwise in accordance with the law. 3.3 Vodafone reserves the right, at its discretion and without prejudice to any other provisions of this Agreement, to issue such reasonable instructions concerning the use of a Service as it considers necessary. 3.4 Vodafone may change its Service delivery methods or platforms from time to time which may require the Customer to change Equipment and/or Equipment settings to continue to avail of the Services. 4. Suspension of the Service 4.1 Vodafone may immediately, without notice, temporarily bar, suspend, restrict, and/or disconnect the Customer s use of the Service wholly or partially for any valid reason. 4.2 Vodafone shall use reasonable endeavours to contact the Customer prior to any such suspension of the Service. 4.3 The Customer shall remain liable to pay the Charges throughout any period of suspension of the Service. 5. Customer Use of the Service 5.1 The Customer undertakes not to use or permit others to use the Service or the Equipment (a) for any improper, immoral or unlawful purpose; (b) in any way that may cause degradation of service levels to other customers or in any way jeopardises, impairs, interrupts or interferes with the integrity or security of the Vodafone network or the quality of Service; (c) to send unsolicited commercial communications or promotional material or in contravention of Data Protection Legislation. 5.2 The Customer shall indemnify and hold Vodafone harmless against all liabilities, claims, damages, losses, expenses and proceedings howsoever arising from or in any way connected with any breach of this clause 5 by the Customer. 6. Payment 6.1 Vodafone may at its discretion provide an online bill to the Customer as default for the Service. If the Customer requests a paper copy of the bill (or is provided with a paper copy because a valid address was not given for online billing) or requests a hard copy of a previous bill, a fee will be charged. 6.2 All Charges and other payments due to Vodafone shall be paid in full by the Customer by the due date for payment set out in the Vodafone invoice. Vodafone may apply a late payment fee. 6.3 Vodafone reserves the right to apply a charge as set out in the Tariff Sheet for each occasion a direct debit payment fails provided the failure is not caused by Vodafone. 6.4 Should the Customer disagree with any charges shown on the Customer s bill, the Customer must lodge a complaint in accordance with Vodafone s Code of Practice, prior to the due date for payment. Notwithstanding any complaint, all invoiced amounts shall be paid on the invoice due date pending the outcome of the complaints procedure. 7. Liability 7.1 Vodafone shall not be liable for any delay, failure, interruption, or deterioration in the Service, howsoever arising. 7.2 Vodafone shall have no liability to the Customer for any loss or damage caused by unauthorised third party access to Services or the Equipment. 7.3 Vodafone disclaims all representations, warranties, guarantees, terms or conditions of any kind, whether express or implied, including but not limited to implied undertakings regarding quality of service implied under Section 39 of the Sale of Goods and Supply of Services Act, 1893 and 1980, to the fullest extent permitted by law and the customer agrees that is fair and reasonable. 7.4 Under no circumstances shall Vodafone be liable for any loss or damage arising as a result of: (a) the failure of the service or equipment due to the incompatibility of the service with any equipment not supplied by Vodafone; (b) the acts and omissions of other telecommunication operators (including the access provider); 7.5 Under no circumstances shall Vodafone be liable to the customer or any third party whether under contract, tort, statute or otherwise, for any indirect, economic, special or consequential loss, loss of profits, loss of data or loss of use of data, howsoever arising as a result of the customer s use of the Service or the Equipment or otherwise in connection with this Agreement. 7.6 Without prejudice to the exclusions of liability set out in this clause, Vodafone s entire aggregate liability to the customer or any third party for any and all claims, howsoever arising out of or in connection with this agreement and whether under contract, tort, statute or otherwise, shall not exceed the lesser of (i) the total charges paid by the customer to Vodafone in the 12 months prior to the date of the last event giving rise to such claim(s) and (ii) 1,000, provided that this shall not operate to exclude any minimum liability imposed by statute. 8. Termination 8.1 Neither party may terminate the Agreement during herein. Should the Customer terminate the Agreement during the Minimum Term, the Customer shall be required to pay the Termination Charge. 8.2 After the Minimum Term either party may terminate this Agreement or any of the specific Services on giving the other thirty (30) days written notice. 8.3 Vodafone shall be entitled to terminate this Agreement and cease providing the Services forthwith without notice if: (a) the Customer is in material breach of this Agreement; (b) the Customer is in breach of any term of this Agreement and has failed to remedy such breach within 30 days; (c) any information supplied by the Customer to Vodafone is false or misleading;(d) Vodafone is obliged to comply with an order, instruction or request of Government, ComReg, an emergency service organisation or other competent authority; 8.4 On termination of the Agreement, all Charges accrued by the Customer together with any Termination Charges shall become immediately due and payable. 9. Use of Information Vodafone shall process your personal data (as defined in the Data Protection Legislation) in accordance with the Data Protection Legislation and Vodafone s Privacy Policy. Vodafone may use Customer s contact details from time to time to contact Customer about Vodafone promotions, products or services which may be available to Customer or to send Customer details of such promotions, products or services. The Customer hereby explicitly consents to such contact while the Customer is availing of the Service and for a period of 12 months after the Customer ceases to avail of the Service. 10. Miscellaneous 10.1 In the event that a customer upgrades/downgrades from one Service as specified on the Application Form to another option, the Charges for the higher/lower option will apply with immediate effect. The customer will be given a new Minimum Term which will take effect from the date the upgrade/downgrade is applied In the event that a customer agrees to avail of a promotional offer, the customer may be subject to a new Minimum Term as agreed between the parties as part of the terms of the offer. 11. Termination Charge 11.1 If the Customer exercises its right of cancellation the monthly Charges which are required to be paid in advance by the Customer shall not be refunded on termination of this Agreement for any reason Neither party may terminate the Agreement during any applicable Minimum Term other than as provided herein. Should the Customer terminate its Agreement during the Minimum Term, the Customer shall be required to pay a fee equal to the balance of the remaining unexpired Minimum Term (the Fixed Line Termination Charge ) as specified in the tariff sheet, and authorises Vodafone to debit the Fixed Line Termination Charge from the Customer s bank account Where the customer has availed of a discount, free equipment or other promotion relating to the Agreement and terminates within the Minimum Term an amount equal to the value of any such promotion, free equipment or discount, pro-rated to the unexpired portion of the Minimum Term may at Vodafone s discretion be reckonable for the purposes of calculating the Termination Charge. 12. Broadband Services 12.1 The Customer must have an analogue direct exchange line, which terminates on a master socket forming part of the PSTN network; 12.2 The Customer s landline line must be within the service availability area; 12.3 If the Customer has any type of phone monitored home/business alarm system on their phone line, provision of the Service will be conditional on a splitter being installed on the line and the Customer will need to contact their alarm service provider to ensure that a splitter is installed; the Customer s line must pass all prequalification testing carried out by Vodafone and/or the Access Provider and the line must be capable of activation for the Service at the exchange The Customer acknowledges that the bit rates in respect of the Fixed Broadband Service as indicated by Vodafone, may be reduced by contention within the Network from time to time and these speeds are not guaranteed. Speeds indicated are line speeds and not data transfer speeds. 13. Next Generation Access/Fibre Broadband Services 13.1 These terms and conditions regulate your use of the Vodafone Next Generation Access Fibre Broadband Service (the Service ). These Service specific terms and conditions apply in addition to the Fixed Line and Fixed Broadband Terms and Conditions and any additional Service conditions which you have signed up to. By signing up to the Service you agree to be bound by these Terms The Service is subject to availability based on local exchange upgrades and is not universally available to all customers The Service allows Customers to avail of faster broadband speeds for use with other Vodafone Services In order to avail of the Service you must have a new high speed phone port installed in your home or business. You must also facilitate an engineer install at your home or business premises as set out below You will be required to sign an 18 month contract with us for the Service. During this Contract period, you cannot recommit to a subsequent contract where the new contract end date is before the original agreement end date In respect of Broadband services, the Service will support Broadband with a Voice Service (PSTN); or Standalone Broadband (PSTN barred). The Customer acknowledges and accepts that in choosing the Standalone Broadband product, the Service will not support existing PSTN/traditional voice line dependent services such as, but not limited to; Landline, and in particular calls to the Emergency Services Monitored alarm or panic/assistance button/service Fax Line TV Service using phone line Older TV set top boxes Any service that relies on the use of a traditional phone line 14. Fair Usage Policy The following term applies to customers who sign up to Family Essentials, Worry Free Family. The following fair usage policies apply: 14.1 Worry Free Family; fair usage policy of 5,000 minutes applies to the total of all local & national landline calls made within each billable month, 1,500 minute fair usage applies to the total of all Irish mobile network calls made within each billable month & a 300GB fair usage data allowance cap applies to Broadband usage within each billable month applies Family Essentials; fair usage policy of 5,000 minutes applies to the total of all local & national landline calls made within each billable month & a 300GB fair usage data allowance cap applies to Broadband usage within each billable month applies Simply Broadband; A 300GB fair usage data allowance cap applies to Broadband usage within each billable month applies. This product does not support voice. If the customer exceeds these fair usage policies then they will be charged in accordance with standard rates which can be found at which rates may vary from time to time and we reserve the right to terminate a contract. 15. Service Speeds 15.1 The Service speed is dependent on a variety of factors. Vodafone does not make any guarantee or accept any liability in respect of Service speeds. The customer accepts that the Service speed may vary from time to time. Vodafone shall provide a Service speed of up to 100Mbps in Fibre Broadband Enabled areas as determined by Vodafone, but up to speeds are not guaranteed. In areas where Fibre broadband is not available, Vodafone will provide you an Up to speed of 24Mbps, provided you are within an enhanced broadband area as determined by Vodafone. In all other areas we will provision your line with a maximum speed of up to 7.168Mbps. 16. Service Fit Out 16.1 Every new Service order request will require an engineer install to fit the Service hardware at the master socket in the customer s home or business premises ( Service Fit Out ). The Service Fit out will commence with an overview of the customer s home or business premises ( Customer s Premises ) to ensure that the socket can support the service. The Service Fit out will require works to be carried out on the Customer s Premises, which will include a change of phone socket in the wall and any other works which may be required to complete the Service Fit Out as deemed necessary by the engineer. The Service Fit Out will be completed by an agent on behalf of Vodafone. Vodafone does not accept any liability whatsoever for any loss or damage that may occur to the Customer s Premises during the Service Fit Out The Customer must have the Customer Premises ready and safe for the engineer to arrange the Service Fit Out. At the time of placing its order where a Customer has requested that an extension kit be installed the Customer accepts full responsibility to ensure that there is a clear and safe environment for the engineer to carry out the Service Fit Out. This includes moving any furniture likely to obstruct the path of the extension kit cable prior to the arrival of the engineer. Under no circumstances will an engineer engage in such activity and Vodafone reserve the right to charge for any additional time spent on site by the engineer as a result of having to wait, or as a result of having to reschedule the appointment due to the Customers Premises not being ready for the Service Fit Out Modem Install As part of the Service Fit Out the customer will require a new Modem in order to receive the Service. It is the Customer s responsibility to have the Modem at the Customer Premises prior to the Service Fit-Out Vodafone may also provide a Walk Away Working Service An additional charge will apply for this Service. A Walk Away Working service consists of one device connected in your home or business that ensures that the customer can browse the internet. The Walk Away Working service will consist of unpacking the modem and connecting one customer device to the broadband connection Service Fit Out Appointments In order to arrange a Service Fit Out appointment the Customer must sign up to the new service via an 18 month contract. The customer will then be notified with an appointment date and time (AM/PM). If a customer wishes to reschedule this initial appointment, they can do so without charge until 4pm on the previous working day, prior to the appointment The Customer will be liable to pay a cancellation/penalty charge to Vodafone in each of the following cases; If a Customer has not provided the necessary cancellation notice period in respect of the scheduled Service Fit Out Appointment (i.e. Up to 5pm of the previous working day) or does not answer his/her phone within 10 minutes of the scheduled Service Fit Out Appointment; If an engineer cannot gain access to a customer s site due to a 3rd party access issue, for example within an apartment block; If the Customer refuses to allow the engineer onto their property on the agreed appointment date; In the event that an extension kit is required and the Customer Premises has not been cleared for the engineer to work. This can include the removal of furniture or carpet etc. Where the environment is considered dangerous or unsafe to the engineer, the works may not proceed but the cancellation/penalty charge may be levied regardless. If a customer has selected an engineer install for Walk-Away Working, but has failed to collect their modem from the post office, this charge will be levied against the customer For a full list of additional charges which may include some of the following charges (depending on the service you require) please see the list below or refer to charges Landline connection Installation fee Engineer modem installation Missed engineer appointment Disconnection Service Upgrade Service Downgrade Paper bill Paper copies of bills Direct debit failure Late payment fee

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