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Network Service Application

    
 
CUSTOMER INFORMATION
Planname Business Cap Complete
ABN/ACN*
Trading As (if applicable)*
Contact Name*
Date of Birth* Drivers Licence No
Telephone* Facsimile
Street Address*
State
Postcode
Previous Street Address (if at above address for less than 2 years)
 
State
Postcode
Postal Address (if different to above)
 
Years Trading
Position
Employer
Mobile*
Website
CUSTOMER SYSTEM & OTHER DETAILS
ISDN number ranges (Please Specify)
ISDN prime number of the range (Please Specify)
System Brand System Model    
System Maintainer Contact Name Telephone
System Reprogramming Required* Yes   No
SERVICE OPTIONS (Full Service)
SERVICE INFORMATION (Complete Supplementary Line Application Form if further space required)
I elect to have the telephone numbers in this section tagged as (Please tick one)
Listed or  Unlisted
  Line No Name Description
PRIVACY STATEMENT
If you are an individual we will collect personal information about you. Clause 7 of the Standard Customer Agreement contain provisions about the use by Telcomo Pty Ltd of your personal information. A summary of clause 7 of the Standard Customer Agreement is set out in the Summary provided with this Application. You should also read the provisions in the Standard Customer Agreement. By signing this Application you confirm that you have read and understood and you agree to those provisions.
If you would prefer that we do not use your personal information for direct marketing purposes, please tick this box (see clause 7.2(e) of the Standard Customer Agreement, a summary of which is set out in the Summary provided with this Application, for the way in which we will use your personal information if you do not tick this box).

  • Moving into a new office?
  • Adding a new phone line?
  • Need a Fax line for the business?
  • Need an inbound number?

  1. Now have peace of mind knowing that the costs on your phone bills won't blow out.
  2. Local or national calls are included; make as many calls as you need to run your business !
  3. UNTIMED calls to mobiles, only 40 cents no matter how long you talk !
  4. No flagfall on any timed calls.
  5. Extremely competitive International rates.