Order - Home Wireless Broadband

Personal Details

First Name(Required)

Last Name(Required)

Date of Birth(Required)

Day

Month

Year

Company Details (if applicable)

Company Name (if applicable)

Company ABN (if applicable)

Your Billing Details

Street Address(Required)

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Contact Phone Number(Required)

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Please upload a copy of your Photo Identification (front and back)(Required)

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Accepted file types: jpg, png, pdf, Max. file size: 2 GB.

Home Wireless Broadband - Site Installation Details

Please provide the details of where you would like the Home Wireless Broadband service installed

Street Address(Required)

Town/Suburb(Required)

State(Required)

Postcode(Required)

Home Wireless Broadband Service Details

Select your plan(Required)

Select your Contract Term(Required)

Select your modem(Required)

Promo Code

If you have a promotional code from any of our Home Wireless Broadband product advertising, please enter it here to redeem

Additional Information

Please add any notes relevant to this service order

Please check box to accept these terms and conditions(Required)

I accept the terms and conditions

Home Wireless Broadband: Terms and Conditions

By submitting this application, you agree to acquire a Home Wireless Broadband Service from Click Access Pty Ltd, ABN 94 619 417 793.

You agree to comply with and be bound by the Click Access Pty Standard Terms and Conditions, a copy of which is available by clicking here.

You agree to comply with the Click Access Pty Ltd Fair Use Policy, a copy of which is available by clicking here.

You agree to comply with and be bound by the Home Wireless Broadband Critical Information Summary, a copy of which is available by clicking here.

This service does not include the provision of a Static IP address.

You agree to provide 7 days' notice to us to disconnect your service. Notice must be given in writing.

If you cancel the service or it is disconnected for any reason you agree to pay all outstanding charges owing on your account.

Payment of your account is by direct debit from your bank account or credit card only. We will contact you to collect your direct debit details.

Direct Debit: Terms and Conditions
By accepting these terms and conditions in this online order form, you authorise Telecommunications Payment Services, Direct Debit User ID 314572 to debit The Customer’s account detailed in the Schedule below on behalf of the Company. Debits may be in any amount and at the time due according to the arrangement between the Customer and the Company concerning charges incurred by the Customer and services provided by The Company. This authority remains in force until you notify the Company that you wish to cancel it. We agree to be bound by this agreement when we receive your Direct Debit details complete with the particulars we need to draw an amount under it. We only draw money out of your account in accordance with the terms of your agreement with the Company. On giving you at least 14 days’ notice, we may: Change our procedures in this agreement; Change the terms of your Direct Debit; or Cancel your Direct Debit. When contacting us, you may ask us to cancel your Direct Debit. Please be aware that if direct debit or card charge is required for your service and you ask to cancel or vary the terms of your Direct Debit, this may also involve cancellation of your service with us (and may result in costs and charges). You may dispute any amount we draw under Direct Debit by contacting us, detailing your customer reference details and your bank account or credit card number as applicable. You must provide a detailed explanation of the basis for the dispute to assist in a resolution. We deal with any dispute by the following procedure: We will investigate the dispute, and where necessary you are expected to provide your cooperation. This cooperation may include contacting your bank, providing account statements, or other means of substantiating a dispute. While a dispute is being investigated, you may request that we suspend pending payments until a resolution is reached. Please note that we will keep written record of dispute proceedings to assist in dispute resolution. If the day on which you must make any payment to us is not a business day, we will draw on your account under your Direct Debit on the following business day. If your financial institution rejects any of our attempts to draw an amount in accordance with your Direct Debit, we may continue to seek that payment and recoupment of any fees incurred by us as a consequence of that rejection until all amounts due are paid. We will not disclose to any person any information you give us on your Direct Debit, which is not publicly available, unless you dispute any amount we draw under your Direct Debit and we need to disclose any information relating to your Direct Debit or to you or your financial institution to resolve the dispute.To contact us in accordance with the above, please email us at: info@clickaccess.com.au