Online Signup Form Step 1. Select your plan Type of ConnectionType of Connection*NBNADSLOpticommOpticomm UltrafastLength of ContractLength of Contract*24 Months12 MonthsMonth to Month (No Contract)Select your NBN PlanNBN 24 Month NBN 12 Month NBN M2M Select your ADSL PlanADSL 24 Month Select your Opticomm PlanOpticomm 24 Month Opticomm 12 Month Opticomm Month 2 Month Select your Opticomm Ultrafast PlanOpticomm Ultrafast 12M Select your Phone PlanPhone Plan Step 2. Place Your Order Installation addressInstallation address*Your DetailsEmail Name* First Last D.O.B.* DD slash MM slash YYYY Phone*Acceptance of Terms* I have read and accept the Terms and Conditions Verify Payment DetailsPlease call me for my Credit Card Details Please call me for my Credit Card Details We will only debit your credit card or bank account for internet services after your service has been commissioned successfully. Until such time no charges will be made for services supplied. If you have ordered equipment we will debit your account at time of postage prior to the installation. Credit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name Process and Submit This field is hidden when viewing the formCardProcessed CardSuccess This field is hidden when viewing the formSimplifyToken Our website is secure and PCI compliant. We do not hold your credit card information, it connects directly to our Commonwealth Bank BPoint Data Vault.
