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):
New Plan:	Select OneThe 30+600-$30The 30+2000-$30The 60+600-$40The 120+600-$60The 250+600-$110
Effective From:	Select OneNext Bill DateNext Business Day
Other Comments:
How would you like us to contact you confirming the change?	Via your EmailVia your B+W MobileVia other phone
If you chose 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.

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