h36498 s 00002/00002/00134 d D 1.9 99/10/12 19:34:59 andrew 9 8 c Clafify flat/block and length of card numbers e s 00004/00000/00132 d D 1.8 99/09/28 12:54:13 andrew 8 7 c Clarify card number e s 00003/00001/00129 d D 1.7 99/09/16 17:34:12 andrew 7 6 c Ref T&C e s 00002/00002/00128 d D 1.6 99/09/15 19:24:00 andrew 6 5 c Clarified wording on cards e s 00019/00003/00111 d D 1.5 99/09/13 19:37:02 andrew 5 4 c Incorporating feedback from dept e s 00001/00001/00113 d D 1.4 99/08/13 18:53:52 andrew 4 3 c sccs create connection-list-* e s 00011/00018/00103 d D 1.3 99/08/13 16:18:05 andrew 3 2 c checkpoint e s 00030/00002/00091 d D 1.2 99/08/11 13:17:40 andrew 2 1 c All three stages of application process now running e s 00093/00000/00000 d D 1.1 99/08/10 16:19:04 andrew 1 0 c date and time created 99/08/10 16:19:04 by andrew e u U f e 0 t T I 1

Payment for network service

You are applying for network service to be provided as follows:

D 3 E 3 I 3
Applicant
E 3 D 3 E 3 I 3 D 9 E 9 I 9 E 9 E 3 D 4 E 4 I 4 E 4 D 3 E 3 I 3 E 3
Applicant
Username
Hall
Flat number
Flat number
Flat/Block number
Room
Socket
Outlet
Start date
End date
Connection fee
Semester fee
Connection fee£
Semester fee£

D 2 Total cost: £ E 2 I 2 Total cost: £ E 2


Payment options

You must choose one of the payment options listed below. When you click on one of the `Apply for service' buttons your application will be recorded, though the connection will not be made until payment has been received.

D 7 By applying for this service you are accepting the terms and conditions E 7 I 7 By applying for this service you are accepting the terms and conditions E 7 that apply to it.

Option 1

D 5 The quickest option is to pay by credit card or debit card (Switch or Solo) using the form below. The card details will be encrypted when they pass E 5 I 5 The quickest option is to pay by credit card or debit card using the form below. D 6 We can accept MasterCard, Visa, Switch or Solo but not American Express or Diners. E 6 I 6 We can accept most MasterCard, Visa, Switch and Solo cards, but not American Express or Diners. E 6 The card details will be encrypted when they pass E 5 across the network, and will be deleted from our database when the payment has been processed. Payments are processed manually by Computing Services staff.

D 3 E 3 I 3 E 3 Card Number:
I 8 NOTE: This is the large number printed across the middle of the card D 9 (usually 16 digits). Please put spaces in just as they appear on your card. E 9 I 9 (usually 16 or 18 digits). Please put spaces in just as they appear on your card. E 9
E 8 I 2 Account name:
E 2 Expiry Date:
Issue Number (if any):

Option 2

If you prefer, you can send card details or a cheque by post. D 3 If you decide to do this, please include the details above (e.g. by sending a printout of this page with your payment) E 3 You can use Brunel internal post (free) or the Royal Mail. D 3 The address to send payment to is: E 3 I 3 If you decide to do this, the next page will include details D 5 of where to send the payment. E 5 I 5 of how to send the payment. E 5 E 3

D 3
	Halls Networking
	Computing Services
	Brunel University
	Uxbridge
	UB8 3PH
E 3 I 2

Do not send cash by post or internal mail.

D 3 E 3 I 3 E 3
E 2

Option 3

At certain times of day it is possible to deliver your payment D 2 in person. You should do this if you have to pay cash. E 2 I 2 in person. You should only do this if you have to pay cash. E 2 This method of payment should be a last resort, as it takes much longer for you and for our staff.

Personal payments may be presented at:

	Halls Networking Office
	Computing Services
	Ground Floor
	Maths Building
	Uxbridge Campus
I 5

The office is open from 09:30 to 11:30 on weekdays. Personal payments will not be accepted at any other time or place. Please use one of the other payment methods if possible.

E 5 I 2
D 3 E 3 I 3 E 3
I 5

Cancel Application

If you do not want to proceed with this application, you can cancel it now and return to the Halls Networking homepage.

E 5 E 2 E 1