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ADSL2+ NEW BUSINESS CONNECTION APPLICATION IMPORTANT INFORMATION – PLEASE READ CAREFULLY Customer Details Company Name: Contact Name: Street Address of Business: Email Address: UBT Account Number:

Broadband connection

Please tick $165 (compulsory)

Select Data Plan

100GB - $126.50/month

(Theoretical speed 20mb/1mb) 250GB - $148.50/month Unlimited - $170.50/month Telephone line to enable connection Ph / Fax No.: (usually fax line) Modem required

None - $0 Wireless (4 ports+) - $165.00

Direct debit form to be completed see attached * All prices quoted are inc GST. Where an ADSL2+ Service is unavailable and 8Mbps service will be provisioned. I hereby authorise UBT IT&T to provide an ADSL connection on my behalf using the above details elected by me. I understand that I am liable for all costs above incurred in the setting up and ongoing use of this connection. Authorised Person:

Signed:

Date:

ADSL2+ NEW BUSINESS CONNECTION APPLICATION

Direct Debit Request Request and Authority to debit the account named below to pay UBT IT&T UBT Account Number: Company Name: ABN: Authorised Person Name: Position in company: Request and Authority to debit

Surname or company name Given names or ACN/ARBN institution, for any amount UBT may debit or charge you to be debited through the Bulk Electronic Clearing ed below and paid to the Debit User, subject to the terms and conditions of the Direct Debit Request Service Agreement and any further instructions provided below.

Insert the name and address of

Financial institution name

is held

Address

Insert details of Bank Account

Name of account holder BSB number Account number

Or Credit Card to be debited

Credit Card Type

VISA

MasterCard

Exp.

CV V

Credit Card No Name on Card Acknowledgment

By signing this Direct Debit Request you acknowledge having read and understood the terms and conditions governing the debit arrangements between you and UBT as set out in this Request and in your Direct Debit Request Service Agreement.

Payment Details

Debits may be made fourteen days after the issue of a billing advice.

Insert your signature and address

Signature

(If signing for a company, sign and print full name and capacity for signing e.g. Director)

Address Date Does UBT IT&T provide Australia Wide ADSL2+ coverage?

Can I use the phone and the internet at the same time?

Yes UBT IT&T provides ADSL2+ Australia Wide. ADSL2+ is available on exchanges right across Australia subject to coverage in your area.

Yes you can use the internet at the same time, as your telephone calls are run over the analogue PSTN network and your ADSL2+ broadband is delivered via a digital signal.

How does ADSL2+ work? ADSL2+ works the same as your existing ADSL service. It operates over your existing telephone line. The signal is transmitted via your telephone line using a digital signal. Your existing telephone / fax can use the internet and the phone at the same time.

What hardware do I need to get ADSL2+? Should you be an existing NOA / OFG ADSL user your current not be an existing NOA / OFG ADSL customer we can supply one to you at a cost of $130 with your new connection. You will need to How reliable is UBT IT&T ADSL2+? UBT IT&T ADSL2+ has a target service level of 99.1% uptime which is often maintained above this level.

Phone 1300 010 102 Option 1 | Fax 1300 306 161 | email: [email protected]