CIADSL - Superfast Internet Access

CIADSL Order Form

Tax Invoice
ABN 72 924 334 435

All prices include GST

Account Name Details

This application is for:

A New Customer without an Account
An Existing Customer with an existing Account

Account/Login Name:

Login name must begin with a letter
Use only LOWER CASE a-z, numbers 0-9, and '.'
Do not include the @domain part
This will be your email address

Password:

(5-8 Characters including one non alphabetic)

Repeat Password:

NOTE: Password is CASE SENSITIVE

Current Active Email:

Contact Details (optional for existing accounts)

Contact Name:

Company:

Street Address:

Building Access Instructions:

Special instructions:
Security/access contact person:

Postal Address:

Phone/Fax:

Service number: (the phone number to which the ADSL service will be attached)		Work Phone:
		Fax:
Mobile Phone:		Home Phone:

Pricing Plan

Current ADSL:

Are you transferring to us from another DSL provider:	Yes No
If so, what is the name of your current ISP?

Choose an ADSL plan:

	Price Per Month:

Lite PLANS
Lite 256k/64k	$29.95
Lite 512k/128k	$49.95	NO CONTRACTS
Lite 1.5Mb/256k	$79.95

Offpeak SOHO PLANS
SOHO Offpeak 256k/64k	$49.95
SOHO Offpeak 512k/128k	$69.95	NO CONTRACTS
SOHO Offpeak 1.5Mb/256k	$129.95

Unlimited PLANS
Unlimited 256k	$69
Unlimited 512k	$89	NO CONTRACTS
Unlimited 1.5Mb	$149

SHDSL
SHDSL 512k/512k	$165	NO CONTRACTS
peak hours: 9am-6pm Mon-Fri. off-peak*: 6pm-9am Mon-Fri and all weekend. Monthly limits may apply to some plans. Setup is FREE if transferring from another 'Fast-Churn' ISP, otherwise setup fees apply to all plans. Please see the following pages for full details: Free transfer; pricing Billing will be for short period to the end of the month and then the selected period above. Bills are every 3 months. There are no contracts on any of our plans, however there is a minimum term of 3 months upon application. Excess traffic is charged at 5c/Mb for limited plans.

Modem

Choose a modem option :

Bring your own modem
Please specify the make and model

NB3 - ADSL USB Modem - FREE with any CIADSL plan

NB1300 - ADSL Ethernet Modem Router - $99

NB1300 PLUS4 - ADSL Modem Router Plus 4 Port Switch - $119

NB5580 ADSL Integrated Gateway - $199

NB5580W ADSL Integrated Gateway - $249

Where did you hear about us?

Please enter any applicable voucher codes:

Terms and Conditions

Host1 Policy:

I have read and agree to abide by the Terms and Conditions
as specified by CIADSL