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	Terms and Conditions

	WorldNet VIP
	Naked DSL + WorldNet VIP
	Naked DSL
	DSL Broadband
	DSL Broadband + Landline
	Landline
	Direct Dial Toll Calls

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DSL Broadband Sign Up

Step 1 of 2

Customer Details

WorldNet Terms and Conditions Apply:

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

Title:

Company Name:

First Name(s):

Family Name:

Date of Birth:

e.g. DD / MM / YYYY, 01 / 09 / 2008

Phone (day-time):

e.g. 09 3771001

Phone (night-time):

e.g. 09 3771001

Fax Number:

e.g. 09 3771001

Mobile Number:

e.g. 021 12345678

Email Address:
You will receive your invoice to this email.

Do you want to sign up our NewsLetter?
We will send new plans and new promotion information to this email address.
Yes No

Postal Address:

Service Subscription & Installation

Please create a login name and password for this account. Your login name may contain alphanumeric strings (a-z 0-9) starting with a letter. Login name and password must not be identical. Login name is subject to availability and will be confirmed on the date of installation.

User Name:

Password:

Re-type Password:

Broadband Plan:

$10.22 extra monthly fee apply without WorldNet Direct Dial Toll Call service.

Choose the type of Broadband Line Installation:

	Connection Only ($102.17 inc.GST)
	This is the preferred installation option if you do not have monitored alarm or use less than 5 jack points. The line installation will be carried out on your local exchange. You will need Broadband filter to each telephone jack point.
	Connection & Wiring ($274.98 inc.GST)
	Choose this option if you have monitored alarm, SkyTV or using 5 or more jack points. Service technician will visit your premises to install splitter/socket on your phone line. You don't need Broadband filter with this option.
	No Installation / Transfer from other ISP ($45.95 inc.GST)
	Choose this option only if you are currently using Broadband transferring from other ISP. Note: Do not cancel your Broadband until a booking confirmation has been arranged.
	Name of current ISP:

Preferred service start date (actual date to be confirmed):

As Soon As Possible.

Other.

Additional Services:
(Optional)

	Add a free Email with the username
	Add a free 10MB Web Space
	Add a Static IP for this connection ($20/mth +GST)
	Invoice by Post $2.50/per invoce