Application Form for TP / Phone Coop a/c----------------------------------------Please print this out,  fill in,  sign,attach the front page of a recent BT/cable bill (or a photocopy) and post to Harmony at 
TP (Phones for Peace) 
14 Rowlatts Hill Road
Leicester LE5 4UN
THe form will be processed and the Phone Coop will write to you when the service is live.
If you want more than three phone lines please edit the .txt file before printing.
If you have a switchboard, PABX, etc please add a note to say so:  this will not be a problem but we will need to contact you forsome more information.

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Name	___________________________________

Address	___________________________________

 	_________________postcode__________

Please register these lines:

Number (including code)			Type*
_____________________________________	__________________________________________	__________________________________________	__________________________________________

* please write "BT" = BT line,
"C" = cable

Contact phone number (unless given above)

_______________________________

I/we wish to be registered as a Phone Coop customer and agree to the Phone Coop's terms and conditions of service (available on request).


Signature_______________________________ 



Date     __________   TP: affinity ID = 121 / 060