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Customer Information Form

Step 1 of 6 - Company Details

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  • Thank you for signing up for a ZettaNet service. This form is used to gather information which is used to set up your ZettaNet account. The information you will need to provide us with is your Company details, details for a Primary Account Contact as well as Operational and Accounts Payable contacts and your payment information.

    If you wish to print a copy of this form and return you may do so by downloading the form here: Customer Information Form
  • Company Details

  • Primary Account Contact

    This person has authority over all account aspects, including service ordering, modifications, payments and contracts.
  • Operational Contact

    This person or company typically supports the services internally and has some level of knowledge to communicate technical service issues.
  • Accounts Payable Contact

  • Credit Card

  • American Express
    Discover
    MasterCard
    Visa
    Supported Credit Cards: American Express, Discover, MasterCard, Visa
     
  • 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.
  • Account Holder's Name Bank Name BSB Number Account Number Date Of Agreement Actions
             
    There are no Direct Debit Requests.

    Maximum number of direct debit requests reached.

About ZettaNet

ZettaNet partners with MSPs, ISVs, VARs and System Integrators to deliver high speed enterprise fibre internet, NBN , Hosted PBX, VoIP, SIP Trunks, Networking Hardware and secure SD-WAN.
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  • 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.
  • Agreement is effective as of today's date.