Skip to form
First Name
*
Last name
*
Email
*
Contact number
*
Park or Marina Name
*
Pitch/Chalet/Lodge Number
*
Wi-Fi Sevice
*
Please Select
Streaming Service
Web Browsing
Streaming Service Plus
Installation Options
*
Please Select
Installed
Self Install
Existing
Desired Activation Date
*
(Date billing will commence one kit installed) - Please Note: equipment installation within 14 working days
Day
/
Month
/
Year
Comments/Requests
Access Permission (Do you give permission to enter caravan for installation?)
By Submitting this Order Form, you hereby accept all costs agreed upon
*
Benington Networks is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:
I agree to receive other communications from Benington Networks.
You may unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.
By clicking submit below, you consent to allow Benington Networks to store and process the personal information submitted above to provide you the content requested.
Submit