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Existing Customers - Voice Upgrade Form

This form is for existing broadband customers who wish to order phone services from Ripplecom.

Ripplecom Account ID*	Invalid Input
	* Your account ID can be found at the top of your invoice. If you do not have it to hand we will search for you by name and address.
Title *	Invalid Input
First Name *	Please enter your name.
Last Name *	Please enter your last name.
Home Telephone *	Please enter your home telephone number
Mobile Telephone
Email Address *	Please enter your email address.
Address Line 1 *	Please enter your address
Address Line 2 *	Please enter your address
Town *	Please enter your town
County *	Please select your county
Select Your Hardware*	Telephone Adapter: €49.00 Siemens Gigaset IP Dect Cordless Phone: €99.00 None - I just want to order broadband Please indicate your choice
	*Please note that the charge for the equipment is a once off charge and will be charged to your current method of payment. For information on choosing your hardware please visit the Phone FAQ section
Accept Additional Subscription Fee if Upgrading to Voice Bundle *	I accept the €10 monthly subscription for the Voice bundle.* I am not upgrading to Voice Bundle Please indicate your choice
	*Please note that this charge will be added to your monthly broadband subscription.
I wish to upgrade to 8Mb for €39.99 a month	Yes No Please indicate if you wish to upgrade your broadband service
Accept the Terms & Conditions *	I accept the Terms and Conditions of my Voice Bundle Upgrade I am not upgrading to Voice Bundle Please indicate your choice
	You can view our Voice Terms and Conditions here...
	Porting your Telephone Number to Ripplecom
Please indicate whether you wish to port your existing number	Yes No Invalid Input
	If YES - Please print and complete the porting form and post it along with a copy of your most recent telephone bill to: Ripplecom, Portal House, Raheen Business Park, Raheen, Limerick. download form here. There is a once off fee of €10 euro porting to cover the cost of porting from your existing provider and this process can take up to 15 days. If you don’t want to keep your existing number we will provide you with a local number free of charge. Please do not cancel your existing telephone number before you port it to Ripplecom as you may lost it, we will do this for you.
	For further information on porting your phone number please visit the Phone FAQ section
	* required fields