Abel Corporate Services  
Order Transfer of your ADSL Domain Name for use with your Abel Service
Abel Biz
 ADSL Domains to be Transferred to Abel
Upon submission of this form one of our advisors will contact you.
* denotes a mandatory field
 1. Client Details
 2. Contact Details
 Title:
 Email Address:
 *
 First Name:
 *  Daytime Tel.:
 *
 Last Name:
 *  Evening Tel.:
 Fax Number:

 3. Company Information
 Company Name:

 4. Postal Address
 5. Payment Details
 Address:
 * Terms of Payment: In Advance                         Payment Method:
 CHEQUE
Charges: £75.00 ex.VAT
 CREDIT CARD
 Card Type:
 Postcode:
 *  Card Number:
 Expiry Date:
 Issue Number:
 6. Name of Domain to be Transferred
 Domain:
 

 7. Security Information - Pertaining to the ADSL Domain Client
 Date of Birth:
 Mother's Maiden Name:

 8. Your Comments

Declaration: I hereby confirm that I have read and understood Abel Biz's Terms & Conditions and agree to be bound by the said Terms & Conditions. I wish to apply for the above ADSL Domain. I understand that the above ADSL Domain's Net connectivity will be through Abel's ADSL, 0845 or Unmetered networks (ADSL or Unmetered charges as per Abel's Web site ). Please until further notice debit my credit / debit card annually at the applicable rate.

Advice: You are strongly recommended to print a copy of this page.