Once you have decided on the plan you would like (see business grade) please complete the following service request form.

Business Grade ADSL Application Terms

  1. These services are supplied to you under a TWELVE (12) MONTH MINIMUM TERM CONTRACT, (longer terms available) by submitting this application you
  2. agree to be bound by the application terms of this contract and our Acceptable Use Policy (AUP).
  3. Once this application is submitted to us CHARGES WILL BE INCURRED, this application can not be cancelled without the payment of the termination fee (setup costs + 12mths at the nominated access plan rate).
  4. If you cancel this DSL service or wish to relocate the service to another premises or phone line within the 12 month contract period, You will incur the early contract termination fee ( balance of the 12mths (or contracted period) at the nominated access plan rate).
  5. Each ADSL link incurs a once off setup fee please refer to the online documentation for the relevant fees, (see business grade).
  6. This and all other West Australian Networks services must be paid for in advance, should your account fall into arrears it will be suspended until the payment is received. In the event of an overdue account West Australian Networks reserves the right to disconnect the account permanently, early disconnection and reconnection fees may be payable by you should this occur.
  7. Changing speed of link (Faster or slower) will incur a fee, please refer to the online documentation, (see business grade).
  8. Your ADSL link on average will be operational within 7 - 10 working days (depends on port availability).
  9. Account fees are not charged until the service is connected. Charges commence on the day of connection at the exchange not the date you commence using the service.
  10. Changes and cancellations must be advised in writing to West Australian Networks accounts prior to the end of any billing period (24th of the month) and will become effective as of the 1st of the following calendar month.
  11. ADSL accounts can not be suspended.
  12. You must accept the terms and conditions at the bottom of this agreement by ensuring you place a tick in the box. The application can not be processed with out this.

Terms are strictly payment in advance. (payments must be made prior to the 1st of each month).
Payment for the setup fee and first month must be supplied with this request form in order for us to accept and process it.
If you are paying by electronic funds transfer (EFT / pay anyone etc) the application will held until your payment is received.

If an application for service is not successful a full refund will be provided.

Organisation/Company Name (If Applicable)
Title

Your First name*
Your Surname *
Sub-address type E.G. Level
Sub-address number E.G 8
Street number * E.G 250
Street name * E.G St Georges
Street type * E.G Tce
Street suffix E.G West
Suburb/State *
Post Code *
Home telephone *
Work telephone *
Fax
Mobile
Your e-mail address* (For correspondence only)
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The telephone number to be ADSL enabled. Please note that this facility will only test for compatible exchanges and by no means guarantees the availability of ADSL. Factors which may prevent a successful ADSL connection include:
  • The proximity to the telephone exchange.
  • The spare capacity on the exchange.
  • Other products and services on the line which may impact the ability to connect to ADSL.

Area code* Telephone number *

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Fast Churn

If you have an existing ADSL service with an ISP participating in fast churn process they may take advantage of the faster setup time and lower connection fee.

Please Note: If a change of IP address for Layer 3B, 3C or 3D services, or a change of speed or service configuration is performed at the time of churn, the client may incur an additional charge.

Please Click here for the ADSL Churn Application
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Requested service type

Please choose an account that suits you *
Do you require Spam, Virus and Offensive Content filtering
User Name Required*
The username must be between 2-30 characters in length and only a-z and 0-9 are permitted. However, it may not commence with a digit.
Password Required* must be between 4-16
characters in length and must include at least one of the following A-Z, a-z and 0-9 only.
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Additional products and services

Do you require an ADSL modem or Router*
Price shown includes setup fee.
Some modems are not compatible with SHDSL
Do you require Router support & maintenance Covers software upgrades, security, maintenance and performance monitoring for your router
Do you require VPN services setup for you If yes how many simultaneous connections are required
VPN or Virtual Private Network allow you to connect to your PC remotely
Would you like VOIP services If yes how many phone lines do you require
How many handsets are required
VOIP or Voice Over Internet allow you to access full phone services over your ADSL connection at much cheaper rates. A separate quote will be provided based on your answers above.
Do you require 24Hr 7 Day support standard business hours support is included free
Do you require additional ADSL inline filters One filter is included with most routers, every phone (inc alarm systems, faxes etc) on the same line as the ADSL must have a filter fitted.
Additional Work Required
Do you require PC and or network administration
if yes please indicate number of machines Maintenance/Support/repairs/upgrades can all be done for you
Do you require additional software
Do you require additional IP Addresses Please click here to complete the required form
Do you require additional e-mail addresses or mailboxes Please click here to complete the required form
Do you require cable work done on site? (phone point or network cable relocation or installation, central line filter)
If yes Number of phone points required network points
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Payment Method
Cheque, Cash or Money Order
EFT (Electronic Funds Transfer)

Please make payable to West Australian Networks and post to:
PO Box 532 HILLARYS WA 6923 or pay over the counter at any branch of the National Australia Bank . You will need the bank details on the right
  • Account Name: The Emery Corporation P/L T/AS West Australian Networks
  • BSB Number: 086495 Account Number: 691499751
  • Please ensure you mark the deposit with your full name to enable accounts dept to identify it.
When paying via cheque / cash / money order / or EFT the application will be held pending receipt of your payment for the setup fee and one (1) month connection.
Credit Card
Card Type
Credit Card Number
Expiry Date
Name On Card
*AMEX Security number
 For Amex cards you need the 4 digit ID code found on the right had side just above the card number.
By completing and submitting this form I authorise West Australian Networks to debit my nominated credit card (above) for any valid charges incurred by the use of this service.

Your comments

Please reply to my comments

I hereby certify that I am authorised to sign the contract and instruct WA Networks to provide the service requested.

I have read, understand & agree to be bound by the Terms & conditions of this application including the Acceptable Use Policy (AUP)*
 

NOTE: If you receive an error message reading: "The form was not submitted for the following reasons: You are coming from an unauthorized
domain. Please use your browser's back button to return to the form and try again".

This problem is caused by your personal firewall blocking HTTP referrer information (cookies) which the script checks as a security measure. When
that information is blocked by your firewall software, the form returns the error message you received.

To send the form, you can temporarily disable your firewall (which you should be able to do by right-clicking its icon in the system tray* and
selecting the option to disable it), and then try submitting the form again. Once you submit the form, go back to the system tray icon and right-click
again to turn the firewall back on.

We are sorry for the inconvenience, but in this age of hackers, spammers, and worms, we are trying to protect our site from abuse.

IF YOU STILL HAVE PROBLEMS, Please email us cag@westnet.net.au