Please complete the below form with as much detail as possible to help us assist you. If you would prefer to talk directly to one of our Member Services representatives call 0800 892 150 or 990 from your Black + White mobile.

First Name:
Last Name:
Black + White Mobile Number:
Email Address:
Security Pin (4 digits):
Favourite 1:
Favourite 2:
Favourite 3:
Email and Data:	No ChangeEmail Lite-$25Email Lots-$45Email Loads-$60Data Lite-$25Data Lots-$45Data Loads-$60Remove Option
Offpeak Minutes:	No ChangeOffpeak Minutes 100-$15Offpeak Minutes 300-$30Remove Option
Overseas Top 5	No ChangeOverseas Top 5 for 45-$15Overseas Top 5 for 90-$25Remove Option
Talk + Text Weekends	No ChangeUnlimited TnT Weekends-$10Remove Option
Effective From:	Next Bill DateNext Business Day
How would you like us to contact you confirming the change?	Via your EmailVia your B+W MobileVia Other phone
If other phone, please enter here:

After submitting this form you will receive a confirmation email, a member of our team will then contact you as soon as possible to verify your new options.

By submitting this form you agree to our Terms and Conditions, to view click here.