LIFE IS FOR SHARING. Business extension order for MultiSIM CUSTOMER DATA Ms. Mr. Company Title1 Name/Company First name/ addition Framework agreement no. CELL PHONE DATA 8 - 9 4 9 0 2 - SIM card no. or Customer account or Mobile phone no. EXTENSION OF MULTISIM - - 0 1 I request one additional MultiSIM. SIMcard NanoSIM MicroSIM NFC-NanoSIM NFC-MicroSIM MicroSIM NFC-NanoSIM NFC-MicroSIM I request two additional MultiSIMs. NanoSIM SIMcard DELIVERY ADDRESS FOR THE SIM CARD The partner’s address or The billing address or Different address: Ms. Mr. Company Title1 Name/Company First name/ Contact person Street/ House number Country GENERAL TERMS AND CONDITIONS/ SIGNATURE D ZIP code Town General Terms and Conditions and prices The General Terms and Conditions – Mobile Communications Service (business customers), the General Terms and Conditions for TwinBill, and also the cell phone business pricelists for each Telekom mobile tariff ordered (business customers) of Telekom Deutschland GmbH are applicable for the contract. The General Terms and Conditions and the pricelists are available at Telekom shops and from your account manager. These can be found online at www.telekom.de/agb I hereby confirm the order above. INFORMATION OF DISTRIBUTION VO-code Date, Signature 8 of the customer VP-number B-code Name, first name E-mail address Please send the signed order via fax: 0800 5212211 or via E-Mail: servicecenter.gk@telekom.de 1 Voluntary information TELEKOM DEUTSCHLAND GMBH Supervisory Board: Timotheus Höttges (Chairman) | Managing Board: Niek Jan van Damme (Spokesman), Thomas Freude, Michael Hagspihl, Dr. Bruno Jacobfeuerborn, Gero Niemeyer, Hagen Rickmann, Martin Seiler, Klaus Werner Commercial Register: Amtsgericht Bonn, HRB 5919, Registered office of the company: Bonn, WEEE-Reg. no.: DE60800328 As at 06/15 | MF-F-010.2 1|1