Phone Line Order Form

This form to fill out if you only require a standard phone line service.

Section A. Existing Account

Do you have an existing Fantel Account?

Yes I do have an account with Fantel already.

Enter the service address where the phone line is or is to be connected

Phone Line Address(Required)

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

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

Details entered here will become the authorised account holder.

Your Name(Required)

First Last

Account holder name.

Date of Birth(Required)

Required for security purposes

Driver's Licence

Phone(Required)

This is used so that we can contact you.

Mobile

Email(Required)

Company Name

ABN / ACN

Service Number(Required)

I have an existing telephone number

I need a new telephone line activated

Phone Line Rental(Required)

Option

MessageBank – $6.60 per month +$ 6.60

Calling Number Display – $6.60 per month +$ 6.60

Silent Number – $3.30 per month +$ 3.30

Monthly Minimum

By submitting this form you agree to the following:

Terms and Conditions(Required)

I have read, understood and agree to abide by Fantel’s Terms and Conditions.

Payment Authorisation(Required)

I authorise Fantel to direct debit my credit card the amount on the invoice at the time the invoice was generation.

Your Message