TV Application

Apply for all Telem services fast and easy online. If you’re here for a TV application, simply select that option and complete the Telem Service Application Form. Our team will review and process your request — you’ll be contacted within 10 business days and connected in no time!

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TelTV+

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TV

You have selected the following package:

Select Plan(Required)

TelTV+ add-ons

Entertainment add-on: Additional Charge of $15

Movies add-on: Additional Charge of $15

Sports add-on: Additional Charge of $20

TelTV+ Premium Package(Required)

TelTv+ Premium $40

TelTV+ Premium = Basic Package + all add-ons

Are you a new or Existing customer?(Required)

New customer

Existing customer

Account number(Required)

Select your type of request:(Required)

Upgrade Package

Relocate

Cancellation

Reasons for cancelling

Which services would you like to cancel?(Required)

Date Effective(Required)

MM slash DD slash YYYY

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To process your request please provide us with the information below:(Required)

First Name Last Name

Physical Address:(Required)

Address Line 2 City State / Province / Region

Current Address(Required)

Address Line 2 City State / Province / Region

New Address(Required)

Address Line 2 City State / Province / Region

Date Effective(Required)

MM slash DD slash YYYY

Mobile Number(Required)

Phone Number(Required)

Personal Email:(Required)

Workplace

Work Number(Required)

Please upload a copy of your ID/passport(Required)

Max. file size: 40 MB.

Please upload a copy of a utility bill(Required)

Max. file size: 40 MB.

Consent(Required)

I adhere to the terms and conditions

Terms & Conditions

Packages listed are exclusively available in Fiber ready areas.
All speeds are“up to”indicated speed.
All Internet packages include a free internet modem. Installation fees may apply.
*Postpaid minutes included are TelEm to TelEm and TelEm to TelCell only.
**Prepaid plans have an additional charge of $10. Standard calling rates apply.
All Triple Play plans include the TelTV+ Basic Package (100 Channels).
TelTV+ add-ons will be charged in addition to your Triple Play Package.
TelTV+ has a onetime fee of $65 per set-up box. A subscription fee of $10 /month applies per additional set-up box with a maximum of 5 simultaneous streams per account.

Authorization * / **
All applicants must adhere to the terms and conditions stated in the TelEm Group General Terms and Conditions. If applicant is part of a special promotional campaign and/or receives a modem at no charge, applicant agrees to be bound by a 1-year contract.

Residential Connections */**
A copy of a local ID (Dutch ID card or Passport) and proof of address (registration form from the Census Office no older than 6 months or utility bill no older than 2 months) must be included with this application form. If these cannot be provided, a recent census registration form from the Census Office (not older than 6 months) in combination with a non-local ID is also acceptable.

Security Deposit*
A security deposit of $1500 per line is required for non-residents who apply for a Postpaid Triple Play package. Upon termination of the account the security deposit will be refunded to the customer after deduction of any outstanding invoices.

Early termination * / **
If, during the minimum contract period, the customer cancels the service or TelEm Group cancels the service due to a breach on client's part, the customer will be charged an early termination fee. The early termination fee is the total of charges that would have been paid between the date of cancellation and the end of the contract period.

Ownership and use of the equipment and cable * / **
The Customer acknowledges and agrees that the equipment (cables, pipes and box placed on the premises) provided by TelEm Groups at all times belong to and remain the property of TelEm Group. To protect TelEm Groups interest in the equipment, we ask, and you agree, that you will not: (a) sell the equipment; nor(b) damage the equipment; nor(c) give a third-party possession or use the equipment without our prior consent. Your TelEm Fiber Internet connection is for personal use only and cannot be sold, rented or shared in any other way, without TelEm’s written approval. Note: As part of the installation process, we ask, and you agree that trenching and drilling may be required to facilitate the installation of the equipment. Permission from landlord or property owner is required for installation TelEm reserves the right to terminate this contract at any time, in case of non-compliance to these terms and conditions.

*Postpaid **Prepaid

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TV Application

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Terms & Conditions

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