Aanmeldformulier NetherLight

Vul hieronder het aanmeldformulier in. De gegevens worden gebruikt voor het contract, dat je ter ondertekening ontvangt. Dit is alleen voor administratieve doeleinden. Heb je vragen bij het invullen, neem dan contact op met SURFnet Klantsupport, via 088 787 30 00 of klantsupport@surfnet.nl

Administrative details
URL to be published (https://www.netherlight.net/partners)
Signatory of the contract
Operational contacts
Technical contact person
Would you like to add another technical contact person?
Administrative contact person
Would you like to add another administrative contact person?
Note: the administrative contact person(s) will receive the confirmation email of the application.
Desired connection(s)
Connection 1
Choose the type of connection
Choose the location
Would you like to purchase another connection?
Connection 2
Choose the type of connection
Choose the location