ADSL New Service Application
 
Thank you for choosing Cybertel Telecom Pty Ltd (Cybertel) as your ADSL Service Provider. All information provided by you is held in strict confidence by Cybertel and is not used for any purpose other than the direct provision and support of Cybertel business communications and associated services.
Section 1 – Account Details:
Do you have an existing Cybertel Telecom Pty Ltd account?
Yes -      Account Number: No – (go to section 2)
Section 2 – Customer Details:
Business        Private
Business Name / Legal Entity: Title or Position:
First Name: Last Name:
ABN / ACN (bus): or DOB (pvt):
Service Address: Postcode:   State:   
Billing Address: Postcode:   State:   
Telephone: Fax:
Email Address :  
Section 3 – Service Details:
This is a new service, there is no service at this location
Line Number :    This is the line number you wish to have the service installed on.
Preferred Username:
Username Second Preference:
Residential Service Business Service (static IP)
Plan Name select a plan from the dropdown box
Supply Modem (inc 1 Filter)                               Number of Additional Filters Required:   
New Service Establishment Charge $129.00 Modem Cost:    

Send Application

  • I understand that I am on a Cybertel plan detailed above which I have reviewed at www.cybertel.net.au.
  • I have read and agreed to Cybertel’s Terms and Conditions as published at www.cybertel.net.au.
  • I understand that rates and costs are inclusive of GST, as published online at www.cybertel.net.au.
  • I understand Cybertel Telecom may perform a credit check upon application.
  • I understand that I am under a minimum 6-month contract and I will incur a $77.00 cancellation fee if I cancel within this period.

Please tick the check box to acknowledge you have understood and agree to the Ugly Bill Terms above

Please check that you have completed all the requested information for the services you require. If you require further information or assistance please do not hesitate to contact us at any time on 1300 789 084
Please enter the following letters into the box below before submitting
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  Ugly Bill is a trading name of Cybertel Telecom Pty Ltd
Head Office - Suite 9, 23 Middle Street Cleveland.  PO Box 502, Cleveland, Qld 4163   Email: info@uglybill.com
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