CONSUMER NEW CUSTOMER AUTHORITY

 

YOUR ACCOUNT DETAILS

SITE ADDRESS DETAILS

* ( Incorrect site address may lead to incorrect billing)

V4 PAYMENT DETAILS (Choose Direct Debit To Get 5% Discount)

V4 Telecom Pty Ltd.

Mailing Address: PO Box 6045 South Yarra, Victoria, 3141

Sales: 1300 843 130
Fax: 03 9826 6832

support@v4.net.au
www.v4.net.au

OWNER DETAILS

V4 BILLING METHOD

SERVICES TO BE ORDERED WITH V4 (Summary of services associated with your V4 Account)

Service Description (eg: Main line, fax line etc.) Choose Service Type Plan Name Contract term (months) Early Termination Fees understood and agreed to

All V4 Tariffs are billed as per V4’s Terms Of Business & Fair Usage Policy. Download V4's Terms Of Business at https://www.v4.net.au/tob. By signing this form, you hereby confirm your understanding & acceptance of V4's Terms Of Business and Fair Usage Policy.

Please check all details above carefully, as billing for any incorrect will be charged and payable on your account.

Please return via Electronic sign to sales: sales@v4.net.au

or

Via Fax 03 8612 4922

or

Post to: V4 Telecom Pty Ltd, PO Box 6045, South Yarra, VIC, 3141

FOR V4 USE ONLY

*It may take a few weeks for your selected services to go live & start billing .

YOUR AUTHORITY TO V4

* (Please don't sign this if you are not authorised)