key-business-order-form Key Business Order Form Customer Information Business Name Current Address Contact Number Current Account Number Contact Name Email Cell High Speed Key Business Internet Plans10x10 MBps $145 per month20x10 MBps $245 per month50x15 MBps $345 per month80x2 MBps #395 per monthInstallation $175Payment type/Credit InformationPayment type Card type Invoice Visa Bank Trasfer Master Card Credit/Debit Amex Name Credit/Debit Card Expiration Date AuthorizationI have read the terms and conditions, which are available at www.horizon.bm and I agree to be bound by and to abide by the terms and condition that apply to the service plans that I have selected.Print name of company representive Signature Date Print Name of Customer Signature Date Internal use onlyNew Upgrade Replacement Other Submit Form
