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Linc save Low Cost Routing Agreement Form

Linc Save Application Form

Please fill out this form to order your Linc Save Low Cost Routing service. This applies to UK resident businesses only.

If your invoice address is the same as your installation address, enter "as above" in the "Installation Address" field.

If you don't have a switchboard, enter "none" in the "Make" field.

  • This order and the submission of this form is subject to status and acceptance by Linctel Ltd.
  • Credit checks will be carried out and this order is not accepted until such credit checks have been satisfactorily completed.
  • I/We accept the Linc Save service subject to standard terms & conditions (click to view standard terms & conditions).
  • I/We confirm that the information given in this form is correct and complete and that I/We will pay all invoices within 14 days of receipt.
  • I confirm that I am authorised to submit this application form.
  • Linc Save is a trade mark of Linctel Ltd, PO Box 0800, Lincoln, LN4 1YY.
For Security:
Please type this number into the box:
* 306

Full Name:
Position:
Nature of business:
Legal Entity: Sole Trader Partnership Ltd Co.
Co.Reg.No.:
(If applicable)
Business Name:
Invoice Address
Address 1:
Address 2:
Town/City:
County:
Postcode:
Invoice Contact:
Tel:
Fax:
E-Mail:

Installation Address
Address 1:
Address 2:
Town/City:
County:
Postcode:
Install Contact:
Tel:
Fax:
E-Mail:

Estimated Monthly Spend:

New Line Required Y/N:

Numbers to be connected:
(existing lines)
Telephone Number
Number of Lines

Dealer Name:


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