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WorldNet Terms and Conditions Apply:

Yes, I understand and accept the Terms & Conditions of this subscription.

Customer Details

Customer ID/User Name:
Mobile Phone:	e.g. 021 12345678
Email Address: (We will send your bill to this Email address by default)	Do you want to sign up our NewsLetter? We will send new plans and new promotion information to this email address. Yes No
Broadband Phone Number:	e.g. 09 3771001

Choose Your Plan

Broadband Plan:

$5 extra monthly fee apply without WorldNet Direct Dial Toll Call service.

When would you like to start the change?

Change it on next billing cycle.

Other.

Charges for the full month will apply on your current plan even if you change the plan part way through the peiriod for wich you have been billed.

Direct Dial Toll Call

Would you like to sign up for WorldNet Direct Dial Toll Call service?
Learn more

Yes, I'd would like to sign up or stay WorldNet Direct Dial Toll Call.

No, I 'd would like to stay with other Toll Call service providers.

Payment Options

Please choose your payment option:

Please choose your preferred method of payment. A copy of the payment form will be posted to you shortly.

By Direct Debit By Credit Card Other (Administration fee may apply)

Memo

Any other notes that you would like to add to this application:
(Optional)

(*) Prices apply to WorldNet Direct Dial Toll Call service customer. All prices include GST unless stated otherwise.