Enter the service address where the internet will be connected
If the billing address is the same above just put a tick in the checkbox, otherwise, please enter all fields below correctly.
Details entered here will become the authorised account holder.
By filling out this section, you hereby request Fantel Pty Ltd (Fantel), until further notice, to arrange payment of your internet account, by debiting the credit card: You acknowledge that this request may be terminated at any time by Fantel or by notice in writing from you.
By submitting this form you agree to the following:
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