Personal Information - Step 1
Full Name
*
Mr
Ms
Miss
Mrs
Dr
Prof
Prefix
First Name
Last Name
E-mail
*
Confirmation Email
Street Address
*
My street address is also my postal address
*
Yes
No
Postal Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of birth
*
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Drivers license or Passport number
Plan and SIM card selections - Step 2
Voice Plan
*
Please Select
25c plan - $15 per month
35c plan - $5 per month
55c plan - $1 per month
Data Pack
*
Please Select
I don't want data - please turn it off
Huge - $28 per month - 2,800Mb included -$0.20 per excess Mb
Large - $17 per month - 1,400Mb included -$0.25 per excess Mb
Medium - $10 per month - 700Mb included -$0.30 per excess Mb
Small - $6 per month - 350Mb included -$0.30 per excess Mb
None (not recommended) - $0 per month - $0.90 per Mb
Type of SIM card
*
Please Select
Nano (iPhone 6, 5, HTC One etc)
Dual (includes Micro and Mini and suits most other phones)
Other information - Step 3
Do you wish to keep your current phone number, or would you like a new number?
*
Keep my current number
New number please
Current Phone Number
*
Account number
Online key word
*
How would you like to receive your bill?
*
Email (free)
Paper ($1 per bill)
Email and Paper ($1 per bill)
Extra Requests
Terms and conditions - Step 4
I have read and agree to the
Terms and Conditions
.
I agree to a credit check
Enter the message as it's shown (to prove you're not a robot :-)
*
Should be Empty: