| UNLIMITED* ACCESS REGISTRATION DETAILS | |
|---|---|
| Sydney, Melbourne, Brisbane, Canberra and Adelaide Metro Customers Only | |
| First Name: | |
| Last Name: | |
| Company Name: (optional) |
|
| Street Address: | |
| Suburb/Town: | |
| State: | Post Code: |
| Phone: | |
| Fax: | |
| Select Your Nearest Dial Up Location: | |
| Preferred Username 1: | |
| Preferred Username 2: | |
| (Maximum of 8 alpha/numeric characters. Your requested username is not guaranteed.) | |
| Preferred Password: | |
| (Must be 6-8 alpha/numeric characters and contain at least one numeric digit. Password can be changed any time, by yourself at www.tpg.com.au.) |
|
| Operating System: | Win 95Win 3.xx |
| Read Product Conditions NOW! | |
| Read Terms & Conditions NOW! | |
| I have read and agreed to the Product Conditions and the standard Terms & Conditions of use as stated on this CD: | |
| Signature: | |
| Date: | |
| UNLIMITED* ACCESS REGISTRATION PAYMENT DETAILS | |
| Please Note: Product Conditions Apply; Payment is three months in advance and by Credit Card only; A once off Administration Fee of $30 applies when first registering; Registration without payment will not be processed; Administration Fees are non-refundable; if an account is cancelled for any reason, any unused time will not be reimbursed; TPG Internet will automatically renew the Package for the next three months, debiting the credit card provided, unless written termination notice is received two weeks prior to the expiration of the subscription; the monthly time period is calculated from first access date; Package applies to Sydney, Melbourne, Brisbane, Canberra and Adelaide Metro Customers Only | |
| Unlimited* Access Package $19.95 x 3 Months = $59.85 + Administration Fee $30 = $89.85 | |
| Debit My Credit Card | |
| BankcardVisaMastercardAmex | |
| Card Holder's Name: | |
| Card No: | |
| Expiry Date: | |
| Signature: | |
| Date: | |
| REPLY OPTIONS | |
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