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+61 2 8332 3030Freedom Taxation Building, 1 Ransley Street, Penrith NSW 2750

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Fantel

Your Communications Provider

About
Internet and VoIP
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Contact

About
Internet and VoIP
Services and Hardware
Consulting
Support
Contact

BBX Offer Application Form

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BBX Offer Application Form

BBX Business Grade Internet Offer

This offer is only valid for BBX members only.

Section A. Existing Account

Existing Account Number:

If you’re already a Fantel customer. Please enter your Fantel account number here.

Section B. Address

Enter the service address where the internet will be connected

Enter the address of where you want the National Broadband Network active.(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Enter the address of where you want the National Broadband Network active.

Section C. Billing Address

If the billing address is the same above just put a tick in the checkbox, otherwise, please enter all fields below correctly.

Billing Address

same as above

Service Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Enter the address of where you want the National Broadband Network active.

Section D. Contact Details

Details entered here will become the authorised account holder.

Your Name(Required)

First Last

Account holder name.

Date of Birth(Required)

DD slash MM slash YYYY

Required for security purposes

Driver's Licence

Phone(Required)

This is used so that we can contact you.

Mobile

Email(Required)

Company Name(Required)

ABN / ACN(Required)

Please enter your bbx details below.

Company Name on BBX(Required)

Name on BBX Card(Required)

BBX Card No.(Required)

BBX Card Expiry Date(Required)

If the date is 05/17, enter the expiry date in the following format: 0517

Section G. Shaping

Please select your option(Required)

Shape the connection to 128kbps/128kbps when data allowance is reached

I accept excess data usage charges $11/GB thereafter.

Section H. Modem Router

Router Purchase

D-Link DVA-2800

Section I. Service Details

Service Number(Required)

I have an existing telephone number

I need a new telephone line activated

Service Number(Required)

Enter your existing telephone number here.

Name on the account(Required)

This is the name on the account where your current telephone provider is billed to.

Your Account Number with current Telephone Provider(Required)

Enter your account number with the current telephone provider here. This number would appear on your bill.

We will assign a new number for you. Please move on to the next section.

Section J. Term

Acceptance of Contract Term(Required)

24 Month Contract

To continue with the order, you must agree to the contract term.

Acceptance of Connection Charge(Required)

Existing Line Connection Fee

To continue with the order, you must agree to the Connection Charge. Where possible we will attempt to utilise existing lines for connection, however this may not be possible in all sites and a new line may need to be installed.

Acceptance of Connection Charge(Required)

New Line Connection Fee

To continue with the order, you must agree to the Connection Charge. Where possible we will attempt to utilise existing lines for connection, however this may not be possible in all sites and a new line may need to be installed.

Acceptance of Connection Charge(Required)

Existing Line Connection Fee

To continue with the order, you must agree to the Connection Charge. Where possible we will attempt to utilise existing lines for connection, however this may not be possible in all sites and a new line may need to be installed.

Acceptance of Connection Charge(Required)

New Line Connection Fee

To continue with the order, you must agree to the Connection Charge. Where possible we will attempt to utilise existing lines for connection, however this may not be possible in all sites and a new line may need to be installed.

Section K. The Plan

Choose Your Plan(Required)

Your minimum monthly cost: $129.00 (60% Cash – 40% BBX)

Critical Information Summary

Your minimum monthly cost: $97.00 (60% Cash – 40% BBX)

Choose Your Plan(Required)

Section N. Comments

Your Message

Services

Internet
Telephone Line
VoIP
Hosting / Email

Terms and Policy

Privacy Policy
Terms and Conditions
Financial Hardship Policy

Contact info

We would love to hear from you. Getting in touch with us is easy, here are your options.

Phone number
+61 2 8332 3030
Email
support@fantel.com.au
Address
Freedom Taxation Building
1 Ransley Street,
Penrith NSW 2750
Australia

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