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Simple ADSL2+ Application Form
Simple ADSL2+ Application Form
Step 1 of 2
50%
Service Details
Is this a New service or are you transferring from a different Provider?
This is a new service
I am transferring from a different service provider
Customer Details
Please provide the current details for existing telephone service on which you want ADSL2+ Connected.
Name
First
Last
Address
Street Address
City
State / Province / Region
Zip / Postal Code
ADSL Residence Number
Connection Details
Connection Option
12 Month Contract - BYO Modem - $99
24 Month Contract including Basic Modem - $0
Simple ADSL2+ Plans
Services that download more than the Included Use Amount will be shaped to 128/128kbps
Rate Plans
Preferred Rate
Standard Rate
BKB Preferred Rate Conditions 1. Customer must pay by Visa / MasterCard on Automatic Payment 2. Customer must accept electronic invoicing (PDF invoices email to their nominated email address)
Plans
Standard ADSL2+ Shaped 10GB - $65.00
Standard ADSL2+ Shaped 25GB - $70.00
Standard ADSL2+ Shaped 50GB - $85.00
Standard ADSL2+ Shaped 100GB - $110.00
Standard ADSL2+ Shaped 150GB - $135.00
Standard ADSL2+ Shaped 200GB - $160.00
Plans
Preferred ADSL2+ Shaped 10GB - $55.00
Preferred ADSL2+ Shaped 25GB - $60.00
Preferred ADSL2+ Shaped 50GB - $75.00
Preferred ADSL2+ Shaped 100GB - $100.00
Preferred ADSL2+ Shaped 150GB - $125.00
Preferred ADSL2+ Shaped 200GB - $150.00
Email Address
Up to 5 email addresses (@bkb.net.au) are included with your service.
1
3
3
4
5
Service Authentication
Please provide a password for your service to use to connect.
Password
Agreement
I the undersigned have read and accept the BKB Internet ADSL2+ Broadband Supply Agreement, Terms and Conditions, Acceptable Use Policy and Spam Policy (located at http://www.bkb.net.au/).
I have read and understood the information about BKB Internet’s handling of information about me (personal information).
I give BKB Internet consent to obtain and use credit information about me, including information about my credit history.
I understand that once an application is made it cannot be terminated without paying a cancellation / termination fee.
I agree that by signing of this form, BKB Internet Pty Ltd is under no obligation to accept my application until they are satisfied that all of the information I have provided is true and correct.
I acknowledge that this service has been designed as a residential product. While all effort has been made to make the experience as enjoyable as possible, the service does not offer the QoS or SLA guarantees that Business Grade services offer.
Finally I agree to pay BKB Internet Pty Ltd the fees above as a part of this application and understand that a full refund will be made if this application is rejected.
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