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Landline
  - For Business
  - For Residential
Internet phone
  - Basic 070
  - Moblie 070
ADSL
  - ADSL
  - ADSL 2+
Mobile Phone
  - Mobile
KeyPhone System
  - û
  - ȭ/Ʈ
PROGRAM
  - Program

Application

please fax to 1300 766 310 or email info@gstelecom.com.au
Date 17/05/2024


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Applicant's Name Date of Birth / /
Current Address   State Post
Business Name ABN number
Driver Licence No Passport No
Contact Number Office Phone
Email.


Landline

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Residential Business
ű Chuming
Home Basic Business Basic
Home Plus(D/D) Business Plus(D/D)
ġ ּ
[] State  Postcode
Billing
E-mail paper (+$1.45)
Payment
Visa Master Bank
Bank Name
Holder Name
BSB
Account No.
Card No.
Expiry

AUTHORITY BY EACH APPLICANT

I authorise the agent

  1. Բ û ֽø, Ÿ Ծȳ 帮ڽϴ.

Agree
Comment

In order to process your application, the following information can be required:


PRIVACY STATEMENT

The agent is committed to the principles of the Privacy Act 1998(Cth). All steps are taken to ensure that any personal information collected is protected from unauthorised use.

Name of Applicant