SnS Wireless access at all SussexNetShare, SnShare, SnSfeeed and Feeed hotspots

(please print this page and fill in and send to us asap!!)

Sign up for subscription/access by Standing Order

Your name ________________________________________

Your preferred SnShare Username ____________________

Your email address (if you have one) __________________

Your address ______________________________________

_________________________________________________

Your telephone number ____________________________

Your mobile number ______________________________

Skype/Messenger/AOL/Yahoo/ ID (if you have one)_____

_________________________________________________ 

Our signal names your wifi device has picked up containing SnS or Feeed

____________________________

Location where you wish to connect (please be precise, ideally precise address)

___________________________________________________________________

Tick type of access you require Monthly or Annually

MAC address of computer 1

MAC address of computer 2

(details of how to find this are on our website which can be accessed

prior to subscription via our signals http://www.snsfeeed.net/?id=faq)

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I confirm I have read and agree to abide the terms and conditions

of this club (available for viewing on the web site)

Signed & Dated

(must be completed)

SnShare Wireless access at all SnShare, SnSfeeed and Feeed hotspots

STANDING ORDER MANDATE

Please complete the details below then sign and return with application to SnShare.net, Sunnycroft, Mill Lane, South Chailey, Lewes, East Sussex, BN8 4PU

TO:________________________________________________ (your bank)

Please pay standing order to:	www.SussexNetShare.net
Bank:	LloydsTSB
Sort code:	30-91-44
Bank Account Number:	01250509
Quoting reference:		(leave blank)
Frequency:	every calendar month on the _______day of the month or annually on …………................	(leave blank)

Amount: ______________ (either £6.95 for monthly or £60 for annual, non refundable)

Date of first payment: ________________ (leave blank)

(your details) Account holder’s name: ____________________________

Bank Name & Address: ___________________________________________________________________________

_______________________________________________________________________________________________

Account number: _________________ Sort code: __________________

Signature: _______________________ Date: ________________

(Account holder)