Broadband ADSL2+ Internet Online Signup

Complete this form to subscribe to a new broadband service. Before you start this application you will need:
1. Your installation address.
2. Current telephone number and telephone account number (If installing on an active telephone line).
3. Your payment details. Credit Card (Mastercard/Visa), Direct Debit and BPAY are accepted. (Optional for existing customers)
If you have an existing service please use our separate forms to Change Your Plan, Relocate your Service or Purchase a new Modem.

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.

What do you want to do?*
- Activate a New Broadband service.
- Transfer my existing Broadband service to ZettaNet.
Do you have an existing phone service for broadband?*
- Yes, Install Broadband on my active telephone line - $0.00
- No, Please connect my inactive telephone line for Broadband - $59.50
- No, there has never been an active phone service. I require a brand new telephone line for my Broadband Bundle service. - $330.00
Please note that if a technician is required to visit onsite to complete the installation on an active telephone line or to reactivate an inactive telephone line an additional fee of $125.00 will be payable. New telephone services for locations such as buildings or multi-dweling units will require the applicant to source a third-party to complete internal wiring for the delivery of the telephone service.
Time frames for phoneline orders are as follows:
In-place or previous existing line Within 3 Days
NEW line (Urban area) Within 6 Days
NEW line (Rural area [Major]) Within 11 Days
NEW line (Remote or minor rural area) Within 16 Days
Existing Number*
Please provide the telephone number where you want the broadband service installed.
Current Broadband Provider*
Other Providers Name
Account Number/Name*
Activation Fee
$ 0.00

Installation Address
Please let us know where you would like your broadband service installed.
Street Address*
Suburb*
State*
Post Code*
Building Type*

Contract Term*
- 24 Month Contract - $0.00 Setup
- No Contract - $220.00 Setup
Total Install Fee
$ 0.00
Total Monthly Fee
$ 0.00
Billing Frequency*
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 Details
Credit Card

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
					Edit Delete
There are no Direct Debit Requests.

Maximum number of direct debit requests reached.

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