To subscribe to the Airmail service please fill in the form below and either send it or fax it to the address shown below. Upon receipt we will process your application, send you an Airmail user guide, your personal Airmail address. While we will endenvour to provide Airmail service as soon as possible, please allow up to 14 days for your application to be processed. Please note that there is no minimum subscription period. You have two options for payment:

YEARLY IN ADVANCE (Save £20!): Credit Card: Cheque payable to DSR Ltd.:		MONTHLY IN ADVANCE: Credit Card
Connection Fee:	£ 5.00	Connection Fee:	£ 5.00
One Year's Service:	£ 100.00	Monthly Service:	£ 10.00
VAT@17.5%	£ 18.38	VAT@17.5%	£ 2.63
TOTAL:	£ 123.38*	TOTAL NOW:	£ 17.63
		THEREAFTER (per month):	£ 11.75*
*NOTE: You will be charged for every SMS message received through the Airmail(tm) service at the network published tariff in arrears. This applies to both charge bands.

Billing Details

Company:______________________________________________________________________________________

Name:_________________________________________________________________________________________

Address:______________________________________________________________________________________

Postcode:_________________________Country:____________________________________________________

Tel:_________________________________________Email:___________________________________________

Credit Card Type:     VISA    ACCESS     MASTER CARD    SWITCH__Issue No:________

Card Number:__________________________________________________________  Expiry:__________________

Name and Address (if different from above):______________________________________________________

_______________________________________________________________________________________________

Subscription Details

Mobile Telephone Number:________________________________________Network:_____________________

Telephone Used - Manufacturer:_______________________________Model:_________________________

Preferred Airmail User Name is 1:__________________________________________________________

(maximum 12 characters)        2:__________________________________________________________

I agree to be bound by the terms and conditions and wish to subscribe to the Airmail service provided by DSR Ltd. I understood that I am liable to DSR Ltd. for all monthly/yearly subscription charges. I am liable to DSR Ltd. for all SMS messages received on my mobile phone while using the Airmail service. I am over 18 years old.

Signature:____________________________________________________________________________

Date:______________________________

If signing on behalf of a company please state position held:_____________________________________