West Australian Networks :: Internet Connection ::


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This is not the secure signin page. You can click here for the secure signin page.

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

Mobile Broadband Booking Application

These services are supplied to you under a one (1) MONTH MINIMUM TERM CONTRACT, by submitting this application you agree to be bound by the application terms of this contract and our Acceptable Use Policy (AUP) which can be found online by clicking here
Once this application is submitted to us and accepted CHARGES WILL BE INCURRED, If the dates you request are available then your booking will be accepted.
If you cancel this booking you will incur the cancelation fee ($49.95).
Each booking incurs a once off delivery fee please refer to the online documentation for the relevant fees, (see Pricing).
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.
This service takes 5 - 7 working days to activate (Inc delivery and depends on card availability).
Account fees are not charged until the service is active. Charges commence on the day of activation and not the date you commence using the service. Charging ceases on return (receipt by West Australian Networks) of the card,
Mobile Broadband accounts can not be suspended.
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 delivery 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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Period Service Required*	Booking Start Date
	Booking Finish Date
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
Card delivery & configuration method*
Do you require 24Hr 7 Day support	standard business hours support is included free
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 e-mail addresses or mailboxes	Please click here to complete the required form
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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)*

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