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Leased Line Application

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Fields marked with an * are required
If you would like to apply for Leased Line, please fill in your details in this Form below and you will be automatically notified by our Representatives. Should our Agents/Representatives fail to reply to your request, please call us at our toll free number 1600 or email to us at 1600@bt.bt/webmaster@bt.bt.
Please ensure that the fields marked in asterisk(*) are filled,ticked or chosen.

Customer Details

One time cost for ROUTER ISR4221/K9 with accessories = Nu. 40,790.00, for ROUTER C841M-4X/K9 with accessories CISCO 800M ROUTER 4PORT GEAN, 2 PORT GE WAN,2 WIN SLOTS = Nu. 40,420.00)
*One time annual charge of Nu. 75/- per IP address shall be applicable
*The installation charge of Nu. 2,500 shall be applicable
*The shifting charge of Nu. 2,500 shall be applicable
*The Media Converter charge shall be applicable
(One time cost for Cisco Switch (WS-C2960-24TC-S) = Nu. 26,400.00)
(Effort is made to perform installations in a timely manner, however please note that installations will be made on a first-come-first served basis)
Service can be activated any day of the month, billing shall commence from the day of activation

Declaration

I hereby agree to the terms and conditions laid down on the agreement form Terms & Conditions
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Application must be submitted with mandatory documents (stated above). Failure to do so will mean rejection of your application. I agree terms and condition

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Chubachu Thimphu

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