All fields are required unless specified (optional)

Firstly, do you believe you are eligible for Priority Assist?

 (optional)

Account Details

Note: You can include any additional relevant account numbers in the 'notes' box at the end of the form.

Customer Details

Preferred contact details:

Move Details

Connection Details

Please select the services you would like to move:

 (optional)
You can check your serviceability here.
There will be a charge to move your office phones and internet. These costs range from $99 to $240* per service depending on the amount of technician work required. You can discuss your installation options with your case manager during your welcome call. *A New Development Fee of $300 may apply in some circumstances.

Hardware Delivery

Others

 (optional)