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WA Seniors NBN Form

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WA Seniors NBN Form

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Give us a call on 02 8332 3030 and we’ll help you through it — no stress, no rush.

"*" indicates required fields

Step 1 of 4 - Address

25%

Enter the address where the NBN will be connected

Your Name*

First Name Last Name

Contact Phone Number*

Email*

Street Address*

Address Line 2

Suburb*

Post Code*

State*

Contact Details

Details entered here will become the authorised account holder.

Date of Birth*

DD slash MM slash YYYY

Driver's Licence Number

WA Seniors Card Number

Driver's Licence State of Issue

Select Your Speed*

WANBN50

WANBN25

WANBN100

Need a Modem?*

Yes

No

Need a Modem?*

Yes

No

Minimum Commitment

Initial Upfront Payment

Payment

After submitting this form, you will be required to contact our Customer Service Team on 1300 720 207 to have your credit card put on file for your order to progress further.

Payment Authorisation*

I authorise Fantel Ltd to debit my credit card for any invoice issued by Fantel Ltd.

You will be charged for any once-off costs as well as a pro rata amount for the first month. You can change your payment details later by logging into your client account . Your ongoing monthly payment will be taken from your account at the time your invoices is generated.

Fantel Terms*

I have read, understood and agree to abide by Fantel’s Privacy Policy .

I.D. Verification Consent*

I confirm that I am authorised to provide the personal details presented and I consent to my information being checked via Rapid ID for the purpose of confirming my identity.

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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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