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Request a Telephone Extension

* Indicates required information

This form can be used to order a new extension or request the relocation of an existing extension. All applicants should complete section A, but complete either Section B or Section C as appropriate



Section A - Contact Details















(dd/mm/yyyy)


Section B - New Installation













See Telephone Charges regarding new sockets



















Section C - Relocation of existing extension



Current Location









See Telephone Charges regarding new sockets


Moving From











See Telephone Charges regarding new sockets


Moving to:















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