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Extended ADSL1/ADSL2+ Application Form
Step 1 of 2
50%
Your Details
Please provide the current details for existing telephone service on which you want BKB Internet Connected.
Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone Number of ADSL Residence
*
Connection Details
Connection Option
*
12 Month Contract - BYO Modem - $99
24 Month Contract including Basic Modem - $0
Extended ADSL Plans
Rate Plans
*
Preferred Rate
Standard Rate
Preferred Rate offers you a discount on your monthly fee for choosing to pay via automatic payment and to accept your invoices electronicaly.
BKB Preferred Rate Conditions
Customer must pay by Visa / MasterCard on Automatic Payment
Customer must accept electronic invoicing (PDF invoices email to their nominated email address)
Plans
Extended ADSL2+ Shaped 50GB - $70
Extended ADSL2+ Shaped 100GB - $90
Extended ADSL2+ Shaped 200GB - $115
Extended ADSL2+ Shaped 400GB - $145
Services that download more than the Included Use Amount will be shaped to 128/128kbps
Plans
Extended ADSL2+ Shaped 50GB - $60
Extended ADSL2+ Shaped 100GB - $80
Extended ADSL2+ Shaped 200GB - $105
Extended ADSL2+ Shaped 400GB - $135
Services that download more than the Included Use Amount will be shaped to 128/128kbps
Email Address
Up to 5 email addresses (@bkb.net.au) are included with your service.
1
3
3
4
5
Service Authentication
Please provide a password for your service to use to connect.
Password
*
Agreement
I the undersigned have read and accept the BKB Internet ADSL2+ Broadband Supply Agreement, Terms and Conditions, Acceptable Use Policy and Spam Policy (located at http://bkb.net.au/).
I have read and understood the information about BKB Internet’s handling of information about me (personal information).
I give BKB Internet consent to obtain and use credit information about me, including information about my credit history.
I understand that once an application is made it cannot be terminated without paying a cancellation / termination fee.
I agree that by signing of this form, BKB Internet Pty Ltd is under no obligation to accept my application until they are satisfied that all of the information I have provided is true and correct.
I acknowledge that this service has been designed as a residential product. While all effort has been made to make the experience as enjoyable as possible, the service does not offer the QoS or SLA guarantees that Business Grade services offer.
Finally I agree to pay BKB Internet Pty Ltd the fees above as a part of this application and understand that a full refund will be made if this application is rejected.
Acceptance of Agreement
*
I agree to and accept all terms of the above agreement
Signature
*
Do you have any questions that I can help you with?
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