Trident Ploughshares Phone Scheme

Please print this form, complete, attach the front page of a recent phone bill for each number you are registering (photocopies are fine), and post to:

TP - Phones for Peace, 14 Rowlatts Hill Rd,Leicester, LE5 4UN

Customer Name

 

Daytime contact number

 

Address

 

 

 

Postcode

 

Telephone number(s) to be used with this service:

Telephone Number

Package Option

BT, Cable or Mobile

 

Caller Plus [ ]

Home User [ ]

Home User + International Super Saver[ ]

1p Evenings and Weekends[ ]

1p Anytime [ ]

 

 

 

 

 

 

 

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

I have enclosed a copy of all relevant bills.

 

 Signature:…………………………………….

Date:…………………………………………

TP Affinity ID = 121 / 060

The Phone Co-op Ltd. Incorporated in England & Wales under the Industrial & Provident Societies Acts. Registered Number 28965R. VAT Reg No. GB 685 4419 03

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