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Subject:     
Full name : 
Title:          
Please enter the first line of your address                  
Please enter the second line of your address             
Please enter your town or city name.                        
Please enter the postcode where the broadband is located

BROADBAND PACKAGE.

Please note both upto 8Mb and upto 24Mb are the same price but not yet available everywhere.
If you select YES to the statement below, we will automatically select the Upto 24Mb package if available to you.
My Broadband router is ADSL2+ compliant. YES NO
Which broadband package you would like from Naims.co.uk?
Name of your current broadband supplier                              
Migration Access Code from your current supplier                 
The full telephone number that your broadband account is on or to be installed( include std )
The username you would like for your broadband connection
The password you would like for your broadband connection
Preferred method of initial payment Visa Credit/Debit or Delta Mastercard Maestro

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