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Colocation Agreement

  1. These services are supplied to you under a TWELVE (12) MONTH CONTRACT, by submitting this application you agree to be bound by the terms and conditions of this contract, please refer to the online documentation, (see Collocation terms and our Acceptable Use Policy (AUP).
  2. Once this application is submitted to us CHARGES WILL BE INCURRED, this application can not be cancelled without payment of the relevant fees.
  3. 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.
  4. Should you wish to cease this service your account must be settled in full prior to any hardware being release from the collocation facility.

Terms are strictly payment in advance. (payments must be made prior to the 1st of each month).
Payment 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.

 

This Internet Collocation Agreement made as of the

 Please insert agreement start date

BETWEEN

West Australian Networks, an Emery Corporation Pty Ltd company of

Mail address: PO Box 532 HILLARYS Western Australia 6923

Of the First Part

and

 Please insert your company name
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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Requested service type

Collocation Service Type Required Preferred Payment period

Service Commencement Date

Number of servers to be collocated
Connection Speed for Server
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If you require IP addresses how many would like
---------------------------------------------------------------------------------------------------------------
How much data do you require
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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 Collocation terms and the Acceptable Use Policy (AUP) *
 

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