Subscription Form For Maintain Program

Complete this form to subscribe to our maintain offer.

Date

Account

Company

Contact detail

First Name(Required)

Last Name(Required)

Phone Number(Required)

Mail(Required)

Address

Address(Required)

Street Number Street Name City Zip Code Country

Object

Start Date(Required)

Contact for technical support

First Name

Last Name

Phone Number

Mail

Partner Code

If you are a distributor, please enter your valid partner code to see your price table.

Currency

€

End User

(if different from the company subscribing the contract)

This partner code is invalid
Please enter a valid partner code to see your price table.

*Network size is intended number of gateways owned by a customer

Promo Code

This promo code is invalid

Promo message

Current network size

Periodicity(Required)

The size of the network will be reviewed periodically

** An adjustment according to the billing plan will be made in case of change of the network size

Invoicing date : Payment due at the end of the month for the period concerned

By submitting this form, the contractor :

Certifies to have read and understood the terms and conditions of the contract (available here) (Required)
Accepts of the contract and its appendixes
Authorizes Kerlink to contact the LNS provider, if necessary, in order to improve the efficiency of the support

General Conditions of Sales(Required)

By submitting this form, I declare having read the general conditions of sales available here and accepting them without any reservation.