Please type your contact name. Company Name Daytime contact number we can reach you on. Contact Mobile phone number. Date of Birth Current Drivers Licnese Number.

SPECIAL 500GB/500GB Standalone - $49.95* DSL40 20GB/20GB + Line Rental - $79.95* DSL150 50GB/100GB + Line Rental - $89.95* DSL300 100GB/200GB + Line Rental - $99.95* DSL600 200GB/400GB + Line Rental - $119.95* DSL1500 500GB/1000GB + Line Rental - $129.95* DSL90 30GB/60GB - $49.95* DSL200 100GB/100GB - $69.95* DSL1000 500GB/500GB - $99.95* Please select your Plan (*Zone 1 Pricing, Zone 2-3 is an additional $10/month. 12 Month Contract - $99.00 Setup Fee 24 Month Contract - $0.00 Setup Fee + Free Modem Select your contract length, an early termination fee of $250.00 applies if cancelling within this period. Your number you wish the ADSL service on. Your prefered username will also become your new email address with Planet Ozi The Physical address of the ADSL service, please include unit number(s) and Lot number(s) if appicable. Suburb of the ADSL Service Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Select your Service state. Postcode of the ADSL Service I agree to the terms and conditions on the Planet Ozi Website

Your postal Address (can be a Po Box) Billing suburb Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Select your postal state. Postcode of the ADSL Service

Application Summary

Please confirm the below details prior to submitting your application.

Name
Contact
Address
Suburb
State
Postcode
Plan
Contract