J o i n ADSL
 

You can submit this form online, or print it and fax or post it back to us.
Our fax number is 9413-1564.
Our postal address is Suite 208, 3-9 Spring St Chatswood, NSW 2067
If you have any other questions, please give us a call on 9413-2662

  
 
Your Details
  * indicates a required field.
  First Name *
  Last Name *
  Address *
  Suburb *
  Postcode *
  Work Phone #
  Home Phone # *
 
 Fax Number #
  Mobile Number #
  Email Address
     
 
       ADSL Location Details
 
  Address *
  Suburb *
  Postcode *
  Connection Phone # *
     
  Operating System

Windows 95/98
Windows 2000/ME
Windows XP
Apple Mac
 
 
Account Details
 
  Plan Type: *
  Username @ol.com.au (max. 8 characters) *
 
- Initial contract term - 6 months. Connection fee of $99 applies to all plans
- All plans include unlimited hours. Excess Megabytes are charged at 8.8 cents per megabyte.
- Price available only to Sydney metropolitan areas.
- Subject to availability of ADSL services provided by Telstra.
- Netcomm NB1300 ADSL Ethernet/Router Modem available for $150
 

I have read and hereby agree to the Terms and Conditions of Online Connect P/L.
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YES
  Where did you hear about us?
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Payment Details
 
  Direct Debit (please give us a call to arrange a authorisation form to be sent out.)
  Credit Card
 
If you have security concerns and would like us to give you a call to obtain credit card details, rather than submit them over the internet, please enter your contact number in the following box:

  
 
Card Holder's Name
Card Number (no spaces)
Expiry Date
 
 
 
 
 
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