Shift of Ownership
(Mandatory Fields *) / Novation Agreement - LA /
1. Customer Information; Current Owner:
VAT number / Company Registration Number*: / Customer ID (Broadnet):
Company Name*
Address* / ZIP/Post Code* / City*
Telephone number* / Fax number
Main Point of Contact (MPC) * / Telephone no MPC* / E-mailaddress MPC*

The subscription (circuit) is linked to the Company Registration Number (VAT), and only a duly authorized representative can execute changes to a subscription(s).

2. Customer Information; New Owner:
VAT number / Company Registration Number*: / Customer ID (Broadnet):

Company Name*

Address* /

ZIP/Post Code*

/ City*:
InvoiceAddress*: /

ZIP/Post Code*

/ City*:
Telephone number* / Fax number
Main Point of Contact (MPC)* / Telephone no MPC* / E-mail address MPC*
3. Change in Ownership apply from*:
Effective Date (DD.MM.YYYY) / Please note that Broadnet invoices in advance, and will not issue credit notes to former owner. The earliest effective date available is the 1st of the following month after Broadnet receives signed Novation Agreement.
4. This Novation Agreement applies to the list of services (inc.circuit IDs, price, lock-in-period)provided in Appendix 1
5. Signatures
Please note that any service affected by this Change in Ownership are legally bound by the lock-in-period applicablewhen the service was ordered/renewed, unless otherwise stated in Appendix 1. Broadnet is entitled to retrieve information related to the new Owner’s records of payment. Through the acceptance, and upon signing, this Novation Agreementthe new owner accepts Broadnets standard Subscription terms, available at as well as any other valid, written agreements existing between Broadnet and the new Owner.I hereby confirm to be a duly authorized representative of the new Owner’s company, and to have read and understood the content in this Novation Agreement, as well as Broadnet’s Subscription terms, for which I accept upon signing below.
Place / Date (DD.MM:YYYY) /

Place / Date (DD.MM:YYYY)

Existing Owner’s Company Name (In block letters)

/

New Owner’s Company Name (In block letters)

Existing Owner’s Main Point of Contact (in block letters)

/

New Owner’s Main Point of Contact (In block letters)

ExistingOwners MPC’ signature /

New Owners MPC’ signature

6. Change in OwnershipFee

Broadnet invoices an amount of NOK 750,-per circuit included in a Change in Ownership to the New Owner, see Appendix 1

Signed form is sent by post/e-mail to: /

Broadnet AS

ATTN: Name of Contact person
Postboks 1
1330 Fornebu
Norway /

E-mail:

APPENDIX 1

Provide the list of circuits in thetablebelow, or include an extracted list of thecircuitswiththis agreement.

Circuit ID / OrderReferemce / Circuit Address / Circuit Bandwidth / Change in OwnershipFee (750,- per circuit)
Pricing is in NOK Total amount:

Broadnet ASVersion 2.0 - 2017

Side 1 av 2 / Telephone number: 04900
Telephone number for international callers: +47 3899 0110
Company Registration number (VAT): NO 890164072 MVA