form Order Number First Name * Last Name * Email Address * Address * Postcode * Phone Number (optional) What download speed are you currently getting (Mbit/s) What upload speed are you currently getting (Mbit/s) Are you currently in a contract with a broadband provider with more than one month left? YES NO Are you happy that you are receiving the headline speed advertised to you with your current provider? YES NO Which type of broadband are you interested in? * Full Fibre Broadband Wireless Broadband Leased Line Satellite Broadband Satellite Broadband Backup 4G/5G Broadband Community Broadband Please outline your broadband problems and we will come up with the best solution for you *