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PRODUCT AND SERVICES

BetterTelecom Customer Account Sign-Up
I understand Better Telecom will be my supplier for all telephone services including rental, local calls, long-distance, fixed to mobile, and international calls. I have read and agree to the Standard Terms and Conditions.
| Account Type |
Business Personal |
| Password | |
| Confirm Password | |
| Registered company or Business Name | |
| ABN No. | |
| Your Full Name | |
| Email Address* | |
| Payment Information | |
| Payment Type | |
| Card Number | |
| Name on Card | |
| Expiry Month | |
| Expiry Year | |
| CCV | |
| (CCV is a 3 digit code appearing on the back of your credit card, at the end of the number printed on the signature strip. AMEX card holders this is a 4 digit code printed on the front of your card) | |
| Account Details | Billing Address | ||||||||||||||||||||||||||||||||||||||||||||||||||
| (Must be physical address not PO Box) | Use Account Contact | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Position | Position | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Salutation | Salutation | ||||||||||||||||||||||||||||||||||||||||||||||||||
| First Name | First Name | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Middle Initial | Middle Initial | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Name | Last Name | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | Phone | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Fax | Fax | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Mobile | Mobile | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Date of Birth | Date of Birth | ||||||||||||||||||||||||||||||||||||||||||||||||||
| State | State | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Country | Country | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Postcode | Postcode | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Enter Your Services Below | |||||||||||||||||||||||||||||||||||||||||||||||||||
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I understand Better Telecom will be my supplier for all telephone services including rental, local calls, long-distance, fixed to mobile, and international calls. I have read and agree to the Standard Terms and Conditions.
- I am the telephone account holder or am authorised to switch the above services to Better Telecom.
- I authorise Better Telecom to take any further action, including signing documents on my behalf, to provide this service.
- The information provided on this form is true and correct.
- I am under no contract to remain with Better Telecom. However, I will inform Better Telecom in advance if I decide to change providers.
- I understand that Better Telecom Payment Terms are 14 days from invoice date.
