Dart Telecom – New Customer Order Form

Complete your signup below.

Use this form to place your new Dart Telecom order. Once submitted, our team will review the details and contact you to confirm installation, number transfer requirements, and payment setup.

Nothing is activated automatically. We confirm everything with you before the order moves into onboarding.

Dart Telecom - Order Form

Your order will be reviewed before activation.

Complete the details below and our team will contact you to confirm installation, transfer requirements, and payment setup before the order moves into onboarding.

1. Contact Information

First Name*

Last Name*

Email Address*

Mobile Number 1*

SMS Notifications 1*

Mobile Number 2

SMS Notifications 2

Property Type*

Master Socket (Internal)

Preferred Communication Method (Check all that apply)

Email SMS Post Monthly Post Quarterly

2. Installation Address

Current Address*

Current Postcode*

City*

Installation Site

Preferred Engineer Time Slot

AM (8am–1pm) PM (1pm–6pm)

3. Line Transfer & Porting

Number Requirement

Number to Port (Existing Landline)

Previous Provider*

4. Plan & Hardware

Monthly Package*

Hardware Selection*

Preferred Monthly Payment Date If chosen date doesn't exist in a month, payment collects on the last day.

5. Payment Details

Initial Payment

Initial Payment: £25.00 — one-off flat fee

How would you like to pay?

Card via Stripe

Pay initial payment now; set up BACS direct debit for monthly billing

BACS via Stripe

One BACS mandate covers initial payment, first bill & recurring monthly

Please note: Payments are processed securely through Stripe. Transactions will appear on your bank statement as "Stripe", with "Dart" in the reference.

I agree to the terms and conditions. Dart Telecom reserves the right to increase prices if need be. We will give a Month prior notice in the event this change is being made. We are still new, and we very much request you report any failures or any issues that may occur and we will do our best to put it right.

By providing your bank account details and confirming this, you are agreeing to the Direct Debit Guarantee and authorizing Dart Telecom to take payments via BACS for the initial payment and monthly recurring subscriptions as summarized above.

TEST MODE: Skip Stripe payment (for testing only — remove before going live)

Complete your signup below.

Order Confirmed!

Dart Telecom - Order Form