My Net Fone Australia Pty Ltd – ABN: 73 109 671 285
www.mynetfone.com.au
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CUSTOMER ACCOUNT DETAILS
Provide details as they appear on your existing PSTN/Local number telephone account.
New Customer
Existing MyNetFone Customer
MyNetFone Account Number (if applicable)
Organisation Name
ABN/ACN
TitleFirst Name
Last Name
Mobile No.
Email
Position
SERVICE ADDRESS
Address where the Virtual PBX service is to be provided.
Address
State
Postcode
SERVICE SELECTION
MONTHLY
FEE
DID NUMBERS
INCLUDED VALUE
RATES
NUMBER
OF LINES
VPBX 2 Plus
$99
5 x Singles
250 Free Local/National/Mobile/SMS
After included calls:
2
VPBX 4 Plus
$167
1 x 10 Block
500 Free Local/National/Mobile/SMS
Local/National
10c untimed
4
VPBX 8 Plus
$255
2 x 10 Block
1000 Free Local/National/Mobile/SMS
VPBX 12 Plus
$385
3 x 10 Block
1500 Free Local/National/Mobile/SMS
VPBX 20 Plus
$580
4 x 10 Block
2000 Free Local/National/Mobile/SMS
VPBX 30 Plus
$740
5 x 10 Block
2500 Free Local/National/Mobile/SMS
SERVICE
Mobile
25c per min
International
from 1.9c/min
MyText SMS
15c per message
SELECTION
Office Use Only
Sales Approval
Initial
8
12
20
30
CONTRACT TERMS AND SETUP COST
TERM
SELECTION
36 Months
SETUP COST
Free
TOTAL MINIMUM COST
36 x Monthly Recurring Cost
24 Months
24 x Monthly Recurring Cost
12 Months
12 x Monthly Recurring Cost
Other
Hardware
Office Use Only
Sales Approval
Initial
x Monthly Cost
x Monthly Cost Per Appendix
PHONE NUMBERS
If getting new or additonal phone numbers, which region would you like them for?
SuburbState
Postcode
MNF: FRM048_03
My Net Fone Australia Pty Ltd – ABN: 73 109 671 285
www.mynetfone.com.au
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P L U S
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IMPORTANT INFORMATION
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All orders are subject to My Net Fone acceptance
Please read our privacy policy www.mynetfone.com.au/Terms-Conditions/Privacy-Policy
Important information about choosing your new phone numbers. If you choose a number outside your local calling area, people calling you may be charged
at STD rates by their service provider. You may not be able to port your number away from MyNetFone if the gaining provider does not support out-of-area
numbers, or if the gaining provider does not support local number portability with MyNetFone. This information is provided as required by the Numbering Plan
under the Telecommunications Act 1997.
•
Important information about your Service Address. Your Service Address is the primary location where you will use your MyNetFone services. This information
will be used to provide Emergency Service Organisations your location in the case you call for 000 emergency help, and also in the event of a natural disaster or
emergency broadcast warning. It is important that you keep your Service Address information current at all times by updating it via our MyAccount portal when
necessary.
AUTHORISED REPRESENTATIVE ACCEPTANCE
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I acknowledge that the information supplied above is correct and that I am authorised to place such order.
I confirm my order for the goods and services selected and agree to pay all charges in connection with them. I agree to the terms stated on
this form and the My Net Fone Terms www.mynetfone.com.au/Terms-Conditions which I have read and understood and to receive notice by
email of any changes.
Name of Authorised Representative
Signature of Authorised Representative
X
Date
RETURN THE COMPLETED AND SIGNED DOCUMENT TO:
My Net Fone Australia Pty Ltd
PO BOX K1167, Haymarket NSW 1240 Australia
or FAX TO: (02)8008 8008
or EMAIL TO: [email protected]
FOR ENQUIRIES, PLEASE CALL 1300 733 995
MNF: FRM048_03