CONTRACT Prepare your contract online Ready to choose your subscription? Fill in the form below so that our Customer service department can quickly finalise your contract and make an appointment for your installation. Step 1 of 5 - Service selection 20% What services do you need?Service selection* INTERNET TV+ MOBILE DUO + (INTERNET & TV+) DUO + ZEN (INTERNET & TV+ ZEN) DUO + MAX (INTERNET & TV+ MAX) Connection speed M - 200 Mbit/s L - 500 Mbit/s GIGA - 1 Gbit/s Choice of mobile package Basic S (3 Gbit) M (15 Gbit) L (30 Gbit) Choice of TV+ package TV+ TV+ ZEN TV+ MAX Landline Phone Option Subscribe to the fixed phone package for 9 €/month WiFi at home option Subscribe to the WiFi at home diagnostic for 79 €. TV optionsChoose our Premium packages Sky Entertainement French Premium ABSat Voosport BeTv Luso Cabo Imagin X Sky Entertainment Options Sky Cinema Sky Sport Sky Fussball - Bundesliga Complete your pack with : A second Eltrona Box for 4 €/month +200 hours of recording time for 9 €/month Are you already an Eltrona customer? Yes No Customer number Your personal detailsUntitled* Mr Mrs First name* Name* Phone number*Email* Billing address* Street Floor, flat number, etc. City Zip code Installation detailsType of dwellingSingle-family homeDwellingInstallation address* The installation address is identical to my billing address Street Address Floor, flat number, etc. City Zip code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Desired activation date DD slash MM slash YYYY Payment and billingPayment preferenceWith direct debit (free)Without direct debit (+ €2.50/month)Billing preferenceBy email (free)By mail (+ €2.50/month)ConsentWe collect this data in order to manage your request. I also agree to be notified of our offers and products. (You can easily unsubscribe at any time via the links in each of our emails).HiddenDate de soumission PhoneThis field is for validation purposes and should be left unchanged.
