Online Order 1Package Selection2Applicant Information3Connection Information4Order Summary Your Selected Plan Have you read the Critical Information Summary?(Required) Yes No Please read the critical information summary Applicant InformationCompany Name ABN Your Name(Required) First Last Phone Number(Required)Date of birth(Required) DD slash MM slash YYYY Email Address(Required) Enter Email Confirm Email My billing address is different to my Connection Address(Required) Yes No Billing Address(Required) Street Address Suburb State Postal Code Please confirm your details are correct in case we need to contact you regarding your order Yes they are correct Connection Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Is there an existing NBN connection at this address?(Required) Yes No Are you the Account Owner or Authorised Account Representative for the existing NBN Connection service?(Required) Yes No Do you need a new modem?(Required) Yes No Netcomm CloudMesh Gateway (NF18MESH) $189 inc GST Do you need professional set up and installation of your new NBN connection.(Required) Yes No Professional set up & installation $249 inc GST Order Summary NBN25 Unlimited data plan, nbn™ 25/10mbps, Static IP, Local Support $75 p/m NBN50 Unlimited data plan, nbn™ 50/20mbps, Static IP, Local Support $90 p/m NBN100 Unlimited data plan, nbn™ 100/40mbps, Static IP, Local Support $120 p/m NBN250 Unlimited data plan, nbn™ 250/100mbps, Static IP, Local Support, *only available on FTTP $2250 p/m Professional set up & installation $249 inc GST one-time fee NO Professional set up & installation $0 Netcomm CloudMesh Gateway (NF18MESH) $189 inc GST one-time fee NO Modem required $0 Terms & Conditions(Required) I agree to the terms & conditionsOnline Ordering Agreement(Required) Online Ordering AgreementI understand this is an online ordering form and once complete I agree to be contacted by Aussie Tel to finish the sign up process including providing billing information.