1 Line Rental $35.00/Month Additional lines at $30/Line/Month (PSTN lines only). Minimum price over 12 months is $420.00 Local Calls National Calls Mobile Calls International Calls 11 Cents (untimed local call) 7 Cents/Min (No Flag Fall) 20 Cents/Min (No Flag Fall) Standard Call Rates Unless defined above, Standard Dodo call rates apply. To view Dodo s standard call rates visit http:///fixedline/businessphone/fixedline. All calls are billed per second (excluding local calls). Who is Dodo Australia? Established in 2001, Dodo has grown to become one of Australia s largest telecommunications companies. Dodo is 100% Australian owned and operated. Our can do approach is winning us friends all over Australia. As one of Australia s most recognised brands, we are also committed to being one of its most trusted service providers. If you are not one of our valued clients yet, please talk to one of our friendly sales consultants and discover why over 300,000+ Australians have selected Dodo as their service provider of choice. To take advantage of these huge savings call your Dodo account manager today. 1300 725 095
2 CONTACT INFORMATON Company: Contact Name: ABN/ACN: Position: Existing Email Address: Address: Suburb: State: Postcode: Phone: Fax: Mobile: 1. SERVICE TYPE New Business Line (s) up to $299/Line Reconnection of inplace Service $59 (reactivate existing terminated line) Transfer Business Line (s) 2. TRANSFERRING EXISTING SERVICES FROM ANOTHER PROVIDER Yes Current Provider Details: Account Number: 3. SERVICE NUMBERS TO BE TRANSFERRED Area Code Service Number Description
3 RATES CARD Line Rental $35.00/Month Additional lines at $30/Line/Month (PSTN lines only). Minimum price over 12 months is $420.00 Call Type Flag Fall Cost per Min (Billed /second) Other Local Call 11 Cents (untimed) STD/National Calls $0.07 Calls to Mobiles $0.20 International STD STD STD Unless defined above, Standard Dodo call rates apply. To view Dodo s standard call rates visit http://business.dodo.com.au/fixedline/businessphone/fixedlineplanspricing/fullratecards/ All timed calls are billed per second rate (excluding local calls). Note: Minimum 12 month contract applies for all business fixed line services.
4 PAYMENT DETAILS DIRECT DEBIT Details of account to be debited: Account Name: Bank Name: BSB Number: Branch Name: Account Number: I / We authorise and request Dodo Australia Pty Ltd (User ID no 317668) ( Debit User ), until further notice in writing, to arrange for my/our account (as described in the Application) to be debited as specified below, provided that if no amount is specified, the account may be debited with any amounts which the Debit User may properly debit or charge me/us through the Bulk Electronic Clearance System ( BECS ): Signature: Date: Note: Direct Debiting is not available on the full range of accounts. If in doubt, please refer to your financial institution. CREDIT CARD The Cardholder named below hereby authorises Dodo to withdraw from the credit card detailed below all amounts for which the Customer may become liable under the Dodo Business Terms and Conditions. The Cardholder acknowledges that these amounts may include: Connection setup fee Monthly service fees and data charges The cost of Dodo Supplied Hardware Other applicable charges, including fees to change the speed of a Service and prorata amounts. The Cardholder agrees that: The fees charged to the credit card may vary from month to month A declined credit card transaction may result in suspension or termination of Service The Cardholder must not attempt to invalidate a charge properly incurred by the Customer in accordance with the Dodo Business Terms and Conditions. Credit Card Visa Master Card Bank Card Amex Diners Credit Card Number: Expiry Date: Cardholder s Name: Accounts Payable Contact: Direct Phone: Account Payable Email Address: Signature: Date:
5 Visa/ Master Card American Express 3 Digit CVC Number 4 Digit CVC Number CVC Number Visa/Master Card or Amex General Information CVC CVC is printed on the card generally this is a 3 or 4 digit number. This number is printed on your Master Card & Visa cards in the signature area of the back of the card. (it is commonly the last 3 digits in the signature area of the card). You can find your fourdigit card verification number on the front of your American Express credit card above the credit card number on either the right or the left side of your credit card.
6 TERMS & CONDITIONS AGREEMENT TO TERMS & CONDITIONS By signing and submitting this application you agree to accept the Terms and Conditions under our standard form of agreement at http://business.dodo.com.au/terms.asp Credit checks We may conduct a commercial credit check and a consumer credit check in relation to your application for credit. You confirm that: 1. If we consider it relevant to assessing your application for commercial credit, you agree to us obtaining from a credit reporting agency a credit report containing consumer credit information about you in relation to commercial credit provided to you. 2. You agree to us obtaining personal information about you from other credit providers that may be named in a credit report, for the purpose of assessing your application for commercial credit. 3. You agree that we may obtain a consumer credit report about you from a credit reporting agency for the purposes of assessing your application for credit and of collecting overdue payments relating to commercial credit owed by you. Customer s Signature: Date: Name of Signatory: By signing above, the signatory warrants that he or she is authorised to sign on behalf of the Customer. Please fax back completed application forms to 1300 669 857