Surf the Net

Surf the Net Application Form

Please note that the Application form below will be
processed within one working day from submitting it.

Name
Address
Suburb
Postcode
Phone Number
Fax Number
Mobile Number
Company Name

All prices stated below include G.S.T.

	Standard - $26.95 per month
	Classic - $35.20 per month
	Advanced - $44.00 per month
	Unlimited - $ 32.95 per month
	Economy - $10.95 per month
	Economy Plus - $16.50 per month
	25/30 - $27.45 per month
	35/50 - $38.50 per month
	45/80 - $49.50 per month

Select a username for your account. This will also be the start of your email address (eg user bob has the email address of bob@surfthe.net.au)

Username
Alternate Username
Password
Email Address 2
Email Address 3

Email Domain
Select an email domain for your accounts
(eg If you select bob for your username and selected @surfthe.net.au below, your email address your be bob@surfthe.net.au)

@acon.com.au

@surfthe.net.au

Payment Details

Type of Credit Card
Name on Credit Card
Number on Credit Card
Exipry Date

Where did you hear about us ?

I have read and agree to the Terms and Conditions
set by Surf the Net