Telstra Corporation Limited
ABN 33 051 775 556
Page 3
Please indicate whether you
require a new Telstra Account
or have an existing Telstra
Account.
If you have an existing Telstra
Account, you may include a
Billing Reference ID. This
should be 16 alphanumeric
characters in length and will
identify bills for your service if
the same Account No. is used
for multiple services.
New Account OR Bill Services to existing Account
For New Accounts, please specify the address you want your bill sent to and bill frequency:
If you have an existing Telstra Account, please specify your Account / Full National Number
(FNN), Billing Reference ID and Billing Aggregator No (if applicable):
Existing Account No. / FNN
Please indicate if you require
the enhanced Telstra
Provisioning Commitment
offering. The fee for this
service is 60% of the
installation charge. Full
details of this service are set
out in Our Customer Terms.
If this option is not required,
your service will be installed
according to our Standard
Provisioning Time set out in
Our Customer Terms.
Any installation is dependant
on whether infrastructure is
available.
ENHANCED TELSTRA PROVISIONING COMMITMENT OFFERING
Do you require an Enhanced
Provisioning time for
installation of your service?
If yes:
(requests where infrastructure
is available)
Metro Area – within 5 – 8 working days from the date a
full and complete application form is received by Telst ra
Non-Metro Area – within 13 – 18 days from the date a full
and complete application form is received by Telstra
Please see your Sales
Representative about how to
fill out this part of the form.
SERVICE OPTIONS (Extra charges may apply)
Calling Line Identification
Restriction?
Calling Line Identification
Presentation?
ISDN 10/20/30 Business Line
Complete?
Local Voice Calls Timed Calls
Do you require a directory
listing for this service?
If yes, the numbers I wish to list are:
____________________________________________
____________________________________________
Suppressed Address: Yes No