Place my order

We'll contact you before confirming the order to verify the data you have entered and to ensure that you meet the conditions of the promotion.

Data

Name of the company Name of the company from which you received this promotion {{errorMessages.promoter.required}} {{errorMessages.promoter.pattern}} {{errorMessages.promoter.pattern}} {{errorMessages.promoter.pattern}} {{errorMessages.promoter}} {{errorMessages.promoter.pattern}}

First Name {{errorMessages.FirstName.required}} {{errorMessages.FirstName.pattern}} {{errorMessages.FirstName.pattern}} {{errorMessages.FirstName.pattern}} {{errorMessages.FirstName}} {{errorMessages.FirstName.pattern}}

Last Name {{errorMessages.LastName.required}} {{errorMessages.LastName.pattern}} {{errorMessages.LastName.pattern}} {{errorMessages.LastName.pattern}} {{errorMessages.LastName}} {{errorMessages.LastName.pattern}}

Email address {{errorMessages.MAILBACKADDR.required}} {{errorMessages.MAILBACKADDR.pattern}} Please match the e-mail address above {{errorMessages.MAILBACKADDR.pattern}} {{errorMessages.MAILBACKADDR.pattern}} {{errorMessages.MAILBACKADDR}} {{errorMessages.MAILBACKADDR.pattern}}

Country Code {{errorMessages.CALLBACKCLICountry.required}} {{errorMessages.CALLBACKCLICountry}}

Phone number {{errorMessages.CALLBACKCLIPhone.required}} {{errorMessages.CALLBACKCLIPhone.pattern}} {{errorMessages.CALLBACKCLIPhone.pattern}} {{errorMessages.CALLBACKCLIPhone.pattern}} {{errorMessages.CALLBACKCLIPhone}} {{errorMessages.CALLBACKCLIPhone.pattern}}

Pick a date, then pick a slot

Date (ex: 05/08/2026)

There are some time slots free for this date, please pick one below.
Please fill in all the above required fields so we can propose you time slots
We do not find any slots available for the date you selected. Please pick another one.

{{errorMessages.selectedCallbackDate.required}} {{errorMessages.selectedCallbackDate.pattern}} {{errorMessages.selectedCallbackDate.pattern}}

Wished move date/installation date {{errorMessages.moveinstaldate.required}} {{errorMessages.moveinstaldate.pattern}} {{errorMessages.moveinstaldate.pattern}} {{errorMessages.moveinstaldate.pattern}} {{errorMessages.moveinstaldate}} {{errorMessages.moveinstaldate.pattern}}

Remarks (optional) {{errorMessages.remarks.required}} {{errorMessages.remarks.pattern}} {{errorMessages.remarks.pattern}} {{errorMessages.remarks.pattern}} {{errorMessages.remarks}} {{errorMessages.remarks.pattern}}

New address

{{errorMessages.lomKey}} The field is mandatory

I would like to be kept informed about products, services, contests and promotions of Proximus. As the data controller, Proximus may store the aforementioned personal data, along with the context in which it was collected, in its records. This data, together with my interests inferred from the collection context, may be used to personalize communications and to contact me via phone or electronic messaging services (e.g., e-mail, SMS/RCS, WhatsApp, etc.). I acknowledge that I have the right to withdraw my consent at any time and that my data is processed in accordance with the Proximus privacy policy, which informs me how to adjust my privacy settings and how to withdraw my consent.

Confirm my order

Place my order

We'll contact you before confirming the order to verify the data you have entered and to ensure that you meet the conditions of the promotion.

Data

Pick a date, then pick a slot

New address

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