Satcom1 Subscription Form


  • 1Company
  • 2Contacts
  • 3Billing
  • 4Technical
  • 5Services
  • 6Confirm

1.1 Company
1
2
Address of company headquaters
3
Country of residence
4
5
Only applicable for EU companies only

1.2 Contacts
1
Contact person responsible for activation
2
Position held
3
Email of contact responsible
4
Contact phone numbers including area codes
5
Billing contact name
6
Billing contact Email address
7
Billing contact phone numbers
8
Billing address of contact responsible

1.3 Billing Details *
Post paid
Post paid only applies to EU, USA and Canada. The customer will receive a monthly invoice to be paid via bank wire to Satcom1's account. Net Payment 14 days.
Pre paid
As prepayment, the customer will transfer 5000 USD on Satcom1's account. When the amount on the account goes below 2000 USD, a request to refill account will be send by e-mail. If the amount on the account is lower than 500 USD, Satcom1 reserves the right to deactivate the terminal.
1.4 Method of Payment *
Bank Transfer
Credit Card
7% additional charge fill details below
1.4.1 Credit Card Details (incase of Credit Card payment method) *
 Visa
 MasterCard
 Dankort
 American Express
 Maestro

2.0 Technical Info
1
Aircraft Manufacturer eg Boeing, Airbus
2
Aircraft Model number eg 747, A340
3
Aircraft Fuselage number eg ABC123
4
Aircraft tail number eg FX-123
5
Aircraft ICAO / Mode-S number
2.2 Antenna Information
1
Manufacturer
2
Model
3
Part Number
2.3 Iridium satcom installation information
1
Manufacturer
2
Model
3
Iridium (ICC-ID)
4
Iridium (ICC-ID)
5
Fax ID
2.4 Inmarsat satcom installation information
1
Manufacturer
2
Model
3
SBB (ICC-ID/IMSI)
4
SBB (ICC-ID/IMSI)
5
Swift64 (ISN / Fwd. ID)
6
Swift64 (ISN / Fwd. ID)
2.5 Only for Aircraft Traveling through Russia / China airspace
 
Operating in Russian Airspace? If your aircraft will be operating / traveling through Russian Airspace, please check this box
 
Operating in Chinese Airspace? If your aircraft will be operating / traveling through Chinese Airspace, please check this box

3.0 Value added services
 One-Number-Dial
If you wish to have the One-Number-Dial service, please describe where the individual extensions are located (e.g. 01. Cockpit, 21. VIP Seat) (max 9)
 Fax Enhancer
Enables fax services on Inmarsat or Iridium network
 Airtime Monitor
If you want Airtime Monitor please inform to which e-mail you wish the warnings to be sent below, and whether you want Limit Monitor or Daily Monitor

 Daily Monitor     Limit Monitor     USD     Email
 AvioIP
Subscribe to AvioIP
 AvioPhone
Subscribe to AvioPhone

4.0 Comments, Service Agreement, Signature4.1 Additional Comments
4.2 Satcom1 Sales Representative
Please indicate your Satcom1 sales representative (if known)
4.3 Service Agreement
I have read and agreed. I represent and warrant that all of the statements made by me are true and correct and have been made by me in order to allow Satcom1 to grant credit to me; and I further present that no suits, judgement, or legal claims of any kind are now pending against me. I hereby give permission for my billing details to be provided to the agent. I authorise Satcom1 to order credit reports from reporting agencies in considering this application and later in connection with an update, removal or extension of credit. This agreement shall not become binding on Satcom1 until accepted and approved by Satcom1.