Transfer of Ownership

Section 1

02/08

Please complete the application form clearly in BLOCK CAPITALS with a ballpoint pen, ensuring all sections are completed correctly. The customer must show two original forms of identification. Please attach copies of the two documents to the application form.
To be completed by the existing Vodafone Customer.

Number to be Transferred Customers address

For company transfers, use company name. For individual transfers, use first name, surname, title; Mr, Mrs etc, respectively.

Customers name or company name in full

Account contact

Date

(if applicable)

Position/title in the company Signature

For company transfers specify position/title of authorised signatory.

I am authorised to transfer service to the named individual/company as detailed in Section Two. I understand that this transfer of service is being done on a division of accounts basis and the existing Customer is liable for all charges incurred on the service up to the time Vodafone accept this application.

Section 2

To be completed by the new Customer.

Customers address for correspondence (monthly account will be sent here) If new Customer is an existing Vodafone Customer, please state existing Vodafone number.

Customers name or company name in full

Account contact (if applicable) Existing Vodafone Number Principal User Date of birth (for validation)

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Existing Vodafone Number IMEI number

Home phone number

Work phone number

Handset make/model

Section 3
Price Plan

Service & Price Plan

Personal Price Plan

Price Plan

Business Price Plans

Services
International Calls Directory Enquiry

Add On

Add On

If moving from a personal to an existing business company account, please speak to your account contact in your company.

Caller Display Stay Mobile Standard Stay Mobile Plus* *Applies to smartphones only

Advance payments

Yes

No

Amount

Deposit

Yes

No

Amount

Section 4

To be completed by all customers

Direct debit mandate

This mandate must be completed in full by an authorised signatory of the Customer. To the manager of Bank/Building Society Branch Address

Number R I/We authorise you until further notice, in writing, to charge my/our account variable amountswhich may be debited by Vodafone in respect of my/our Vodafone Customer account (name on bank/building society account). My/Our Bank/Building Society account

Bank sort code

(DEPOSIT ACCOUNTS ARE NOT ACCEPTABLE)

Or my/our Visa/Access account number Signature(s) Expiry date Date

This mandate covers all present/future Vodafone services associated with my/our Vodafone Customer account. Additional terms and conditions apply to the service and tariff options below. N/A for Vodafone Family. The information which I have supplied is true and complete. I confirm I have read the contract (and in particular Sections 2, 3, 4 and 9 and any additional terms and conditions applicable) and agree to comply with it. In particular I acknowledge that: (i) If Vodafone accepts this transfer application, any unexpired portion of the minimum period of the transferred contract will apply to my contract with Vodafone. (ii) Acceptance of this application for service is subject to status and a satisfactory credit check which may involve third parties. (iii)  I am aware of the current tariffs (which I realise may change from time to time). If I am a 3G or GPRS Customer, I realise charging is on the basis of the volume of data/pages both sent and received and there is a minimum charge for each data session during which I access non-Vodafone call content. (iv) I have been duly advised of the quality of coverage and the monthly charge payable in accordance with the tariff which I have selected and I understand this application may require a security payment. (v)  From time to time Vodafone and its agents may contact me in writing, by telephone or by means of email or text message regarding specific offers or information on products or services. Text Call Email Post MMS All By ticking the relevant box I have indicated to Vodafone that I do not wish to be contacted by that method and Vodafone has recorded these as part of my application. (vi) If I subscribe for a Free Trial, I shall receive one Text or Picture Alert Service free of charge for 30 days. Thereafter, I will be charged for the service until I choose to unsubscribe. (Terms and Conditions of this trial are available on request or on www.vodafone.ie). (vii) I have provided Vodafone with explicit consent to the processing of my personal data for the customer information purposes set out at Section 9 of the contract overleaf.

*My Vodafone number

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*Customer number

New Customer Signature

Please print

Date