Bestill Breiband/Book Broadband
* Required
Firmanavn/Company Name
Your answer
Fornavn/ First Name
*
Your answer
Etternavn/Surname
*
Your answer
Vegnavn/Street Name
*
Your answer
Veg Nummer/Street Number
Your answer
Postnr/Postcode
*
Your answer
Post Stad/Postal City
*
Your answer
Faktura Adresse/Invoice Adress
Your answer
Telefon/Phone Number
*
Your answer
Epost Adresse/Email Adress
*
Your answer
Abonnementstype/Subscription type
*
Privat Standard: 10Mbit/5Mbit
Privat Premium: 40Mbit/20Mbit
Privat Gigant: 80Mbit/40Mbit(Krever HFC eller Fiber nett)
Verksemd Standard: 10Mbit/10Mbit
Verksemd Gigant: 20Mbit/20Mbit
Verksemd Premium: 50Mbit/50Mbit
Verksemd Premium+ 100Mbit/100Mbit
Eg har lest og forstått Kinsarvik Breiband sine Leveringsvilkår (
https://www.kinsarvik-breiband.net/leveringvilkaar
)
*
Ja
Required
Eg ynskjer faktura via
Epost
Post
Efaktura/avtalegiro (avtale må oprettes i nettbanken din)
Kommentar
Your answer
Submit
Never submit passwords through Google Forms.
Forms
This form was created inside of Kinsarvik Breiband AS.
Report Abuse
Terms of Service
Privacy Policy