Unlimited NBN Service Order

Complete this form to subscribe to a new NBN service. Before you start this application you will need:
1. Your installation address.
2. Current telephone number and telephone account number (If you want to transfer to your number to the NBN service).
3. Your payment details. Credit Card (Mastercard/Visa), Direct Debit and BPAY are accepted. (Optional for existing customers)

Plan Selection
NBN Plans*
- NBN U250 (250Mbit/100Mbit) - $139.00
- NBN U500 (500Mbit/200Mbit) - $169.00
- NBN U1000 (1000Mbit/400Mbit) - $199.00
Pricing Summary
Total Upfront
$ 0.00
Total Monthly
$ 0.00

Are you*
- Activating a new NBN Service
- Transferring an active NBN service from another provider
Current Provider
AVC ID*
Please provide the AVC ID for the service being transferred. In case you don't know your AVC ID, your current service provider will be able to provide this information to you.

Are You*
- A new ZettaNet customer
- An existing ZettaNet customer
Account Number*
Please provide your 10 digit ZettaNet Account number. This will be listed on any ZettaNet invoice or receipt.
Is this NBN service replacing an existing service you have with ZettaNet?
- No
- Yes
What is the username of the DSL service?
i.e. joebloggs@highway1.com.au, jcitizen@globaldial.com

NBN Installation Address
Please let us know where you would like your NBN broadband service installed.
Street No.*
Street Address*
Suburb*
State*
Post Code*
Building Type*
NBN Location ID
If you have received a notice in the mail about NBN, this document may list an ID for your property. It is not essential to provide this information but it does help us determine your exact location more quickly.
Pricing Summary
Total Upfront
$ 0.00
Total Monthly
$ 0.00

Contract
All Unlimited NBN plans have 1 month contract terms with 30 days notice period. Other one off fees may apply.
Contract Term*
- No Contract Term - $0.00

Equipment - NBN Router
To connect to the NBN service you will require an NBN compatible modem/router. You can purchase one from all leading retailers or if you already have a compatible modem/router you may wish to use that.
Router/Firewall
- I have my own NBN compatible Modem/Router

First Name*
Surname*
Date of Birth*
DD slash MM slash YYYY
Email*
Contact Number*
Company Name
ABN or ACN
Billing Address
Street or PO Box*
Suburb*
State*
Post Code
Shipping Address*
Shipping Address
Street or PO Box*
Suburb*
State*
Post Code
Pricing Summary
Total Upfront
$ 0.00
Total Monthly
$ 0.00

Payment Details*
As an existing customer you can elect to pay with the details we have on file or you can supply new payment information.
Payment Type*
Credit Card
Credit Card*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Direct Debit Request
“You” request and authorise ZettaNet Pty Ltd (Debit User ID 375019) to arrange, through its own financial institution, a debit to your nominated account any amount ZettaNet Pty Ltd, has deemed payable by you. This debit or charge will be made through the Bulk Electronic Clearing System (BECS) from your account held at the financial institution you have nominated below and will be subject to the terms and conditions of the Direct Debit Request Service Agreement.

Direct Debit Request

Account Holder's Name	Bank Name	BSB Number	Account Number	Date Of Agreement	Actions

There are no Direct Debit Requests.

Pricing Summary
Total Upfront
$ 0.00
Total Monthly
$ 0.00

Security Alarm Compatibility
Not all security systems are compatible with the range of NBN services and technologies. Before you proceed further with your application, you should consult your security systems provider to confirm your system compatibility and investigate if alternative solutions may be available to you. For more information refer to our Help Article.
Medical Alarm Compatibility
Not all medical alarm systems are compatible with the range of NBN services and technologies. Before you proceed further with your application, you should consult your medical alarm systems provider to confirm your system compatibility and investigate if alternative solutions may be available to you.

It's important to register your medical alarm (monitored and unmonitored), autodialler or emergency call button with nbn's Medical Alarm Register.
Priority Assistance
Priority Assistance is for customers, or a person living at their home, who have a diagnosed life threatening medical condition, and whose life may be at risk if they don’t have access to a working phone line service.

At this time ZettaNet does not provide Priority Assistance. Should you require Priority Assistance you may wish to engage Telstra as your service provider. Please ensure to request Priority Assistance when discussing your service requirements.

Technical Contact Information
This person or company typically supports this service internally and has some level of knowledge to communicate technical requests or issues.

You can simply skip this step by pressing Next if not required.
Full Name
Company
Email
Phone

Total Upfront
$ 0.00
Total Monthly
$ 0.00
Fees Payable at Order Placement*
- I accept that I will be charged for the upfront fee (install/equipment) and the first monthly fee upon the placement of this order. These monies will credited to my account and used to verify my payment method. Should ZettaNet be unable to deliver the ordered service then those monies will be refunded.
Total Order Placement Charge
$ 0.00
Delivery Timeframes and Cancellation Fees*
- I understand that any quoted service delivery time frames are estimates only and the service may be delivered in a shorter or longer timeframe. I understand that I will be liable for cancellation fees should I cancel this order.
Installation and Preparation*
- I understand that the contract includes the installation of the Network Termination Device but all internal in-premesis cabling is my responsibility. I've read through Preparing for the NBN (PDF).
Security and Medical Alarms*
- I understand that my security and/or medical alarm may not operate on the NBN network and will consult my alarm provider to seek further information and an available solution.
Terms and Conditions*
- I have read and understood the terms and conditions.
Hardware Warranties*
- I have read and understood the hardware warranties information.
Have you checked everything?*
- Yes, I am ready to place my NBN order.
Special Instructions
If you have any other information that may help us process this order please provide it above.
How did you hear about us?*
Partner ID
If you are a partner completing this form or have been recommended to us by a ZettaNet Partner please enter the Partner ID (aka Account ID) in here. This will be 10 digits in the form of 214xxxxxxx.

Step 1 of 12 - Getting Started

Plan Selection

Pricing Summary

NBN Installation Address

Pricing Summary

Contract

Equipment - NBN Router

Billing Address

Shipping Address

Pricing Summary

Credit Card

Direct Debit Request

Pricing Summary

Security Alarm Compatibility

Medical Alarm Compatibility

Priority Assistance

Technical Contact Information

About Zettagrid

Partners

About Us

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