Rural Internet Order Please complete this order form and our technicians will be in contact to arrange your install. This form does not guarantee that our service is available in your area, this will be confirmed by our technician prior to your install. If you wish to change the details of your selected plan please call to speak to our accounts team prior to your installation date. Before you complete the order please read the Terms and Conditions and the Critical Information Summary below. Terms & Conditions Critical Information Summary First Name * Last Name * Business Name DOB * Service Address * Suburb * Postcode * Preferred Contact Number * Alternate Phone Number Email Address * Confirm Email address * ____________________________________________ Would you like to add another person who can access your account? Authorised Account Contact Authorised contact phone number Authorised contact DOB Authority levelLimited - enquire / discuss onlyFull authority to act on my behalf ____________________________________________ Selected Plan *---I would like to discussBasic $59.00 pm (400GB data, max. 20MBps down, 5MBps up)Medium $79.00 pm (Unlimited data, max. 50Mbps down, 20MBps up)Ultimate $99.00 pm (Unlimited data, max. 70MBps down, 20Mbps up)__________________________________Business 1 $99.00 pm (Unlimited data, max. 50Mbps down, 20MBps up, same day SLA)Business 2 $139.00 pm (Unlimited data, max. 50Mbps down, 20MBps up, same day SLA + 4G backup)Customised Business Plan Installation costs *---Pre paid plan New connection - FREE UNTIL DEC 2024Reconnect existing equipmentI have been quoted for a custom installation ____________________________________________ Referral name ____________________________________________ Contract 1 - I will read and understand the terms and conditions set out in the current version as linked above via https://www.cwnet.com.au/tc/ *YesNo Contract 2 - I agree to the above nominated contract term and installation payment method and understand its paid in advanced on the day of the install *YesNo Contract 3 - I understand I will require to provide ID and Signatures on the day of the installation *YesNo Contract 4 - I am the owner of the property, or have permission from the owner of the property, for this equipment to be installed on internal and external areas of the building *YesNo Contract 5 - I agree to CWNet me on the email and phone number provided above for the purposes of implementing and maintaining my account *YesNo Additional comments or questions Submit
