Standard Internet Access Online Order Form

Please fill in the details below:

ORDER DETAILS
(required fields are indicated with *)

* Your full name:

By writing my name here I agree with Blue Net's terms and conditions and declare, that I am authorised to order the products listed below.

* Your company name:

* Email address:

* Site where service is to be activated
* Street address, Suburb, State, Post code

* Phone number and area code to activate ADSL on:
Please check coverage

* Type of Internet plan (monthly fees for a minimum of 6 months):

* Do you need a router or modem?

How would you like to pay for service and equipment?:
* Account payment for existing or approved clients
* Credit card. I will also fill in this form: Credit card Authority

Additional comments or special instructions:

None

By clicking on the "Send Order" button below and after having supplied the correct details above I understand I am entering into a contract with Blue Net, which obligates me to pay Blue Net the router purchase price (if any), the service activation fee of $149.00 and the monthly fees for a minimum of 6 months for the services/products indicated above.

I agree with the Blue Net's terms and conditions.

Upon receipt of your request we will acknowledge and action your order accordingly.

For any questions in the meantime please contact us