Second residence | Proximus

Second residence promotion

Dear customer,

Thank you for your interest in our Flex offer at your second residence. Please fill in the form below to book a phone appointment with one of our agents and finalize your order. Your Flex composition has been saved to help us better advise you during our call.

All fields are mandatory except those where "optional" is mentioned.

Personal data of the customer

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}} {{errorMessages.MAILBACKADDR.pattern}} {{errorMessages.MAILBACKADDR.pattern}} {{errorMessages.MAILBACKADDR}} {{errorMessages.MAILBACKADDR.pattern}}

Country Code {{errorMessages.CLECountry.required}} {{errorMessages.CLECountry}}

Your Proximus phone number if you are a customer (to facilitate your identification) {{errorMessages.CLEPhone.required}} {{errorMessages.CLEPhone.pattern}} {{errorMessages.CLEPhone.pattern}} {{errorMessages.CLEPhone.pattern}} {{errorMessages.CLEPhone}} {{errorMessages.CLEPhone.pattern}}

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

Your phone number to reach you quickly {{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 of your appointment (ex: 20/07/2020)*

There are some time slot free for this date, please pick one on the right.
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}}

I would like to be kept informed about products, services, contests and promotions of Proximus. To this end, Proximus may store my personal data in its files and may contact me, including by phone and via electronic channels such as e-mail, SMS and social media. I’m aware that my data is processed in accordance with Proximus' privacy policy which informs me how to manage my privacy settings.

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Second residence promotion

Dear customer,

Thank you for your interest in our Flex offer at your second residence. Please fill in the form below to book a phone appointment with one of our agents and finalize your order. Your Flex composition has been saved to help us better advise you during our call.

Personal data of the customer

Pick a date, then pick a slot

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Ask one of our advisors. Make your choice:

Join us

Second residence promotion

Dear customer, Thank you for your interest in our Flex offer at your second residence. Please fill in the form below to book a phone appointment with one of our agents and finalize your order. Your Flex composition has been saved to help us better advise you during our call.

Personal data of the customer

Pick a date, then pick a slot

Please wait, your data is being processed

Join us

Dear customer,

Thank you for your interest in our Flex offer at your second residence. Please fill in the form below to book a phone appointment with one of our agents and finalize your order. Your Flex composition has been saved to help us better advise you during our call.