WorldDialPoint - Sign-Up 12cents per minute to Australian Mobile

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Base Plan

Application Form (12c Local/National & 15c per minute to AU Mobile)

Residential Base Plan Application Form 1/2
Step 1 of 2 :: Your Info :: Please Fill in all the Information
Name *
Surname *
Street Address *
Street Address 2
City / Suburb *
State/Province/Territory *
Postal Code *
Country *
Phone Number *
Email Address *
Accept Terms and Conditions *	Accept
Date
Preferred Login Password *
Plan Type *
Payment Option *
Payment *
What is your Internet Connection? *
What Software or Hardware will be used? *
Special Instructions *

* Information Required Reminder to New Customers: Under the Australian Telecommunications Act we are only to allocate Geographic Numbers and Virtual Numbers to Customers whose Address matches the Address given for the Account and the SZU for that number. Please ensure that the correct address information is given and kept on file including Name and Address for the IPND. Calls made from Internal Numbers to Emergency Services will be sent a Dummy Number and asked for Address Details. WorldDialPoint may be required to suspend a account/service if this information does not match or if our service is used via any sort of voice / internet gateways without any prior notice. Information and Lookup Tools for SZU (Standard Zone Units) can be found at the ACMA Website, www.acma.gov.au