Saco Technology - Landline & Mobile

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Simply complete the Landline/Mobile Application form below

Agent (Optional)

Promo Code (Optional)

First Name

Last Name

Date of Birth - DD/MM/YYYY

Drivers Licence/Passport Number

Business Name (Optional)

Address

Suburb

State

Post Code

Phone Number

Fax Number

Mobile Number

Email Address

Please enter your desired username and password below. These details will be used to allow you to access your account online.

Username

Password

Landline Connection Type

Landline Plan

Below please tick the features you would like enabled on your line

Message Bank

Caller ID

Silent Number

Multiple Number

Call Control

Line Hunt/Rotary

Landline Connection Type

Landline Plan

Below please tick the features you would like enabled on your line

Caller ID

Silent Number

Multiple Number

Message Bank

Call Control

Line Hunt/Rotary

Only complete if transferring Landline service to Saco Technology

Current Landline Number

Current Landline Provider

Current Account Number

Current Landline Number

Current Landline Provider

Current Account Number

I, the authorised signatory, have responsibility for dealing with telecommunications matters and am authorised to sign this transfer authority and make the changes to the services listed in section 2 above and agree that; The telephone service number(s) under the accounts identified in section 2 above are to be transferred to Saco Technology. I acknowledge that the service numbers provided in section 2 above are correct and correspond to the service numbers I require to be transferred to Saco Technology. There may be consequences from the transfer arising from my existing telephone contract and it is my responsibility to check the terms and conditions of any existing contracts relevant to the services being transferred. Saco Technology may choose the carrier I acknowledge that I may surrender all incentives and benefits with my current telephone company (eg. Discount plans, charity concessions). Saco Technology can ask my current telephone company to release me. I authorise Saco Technology to sign on my behalf and in my name forms of authority to my current Supplier to transfer my services into my name.The telephone service number(s) will remain active with my current telephone company until the transfer is effective. I will be solely responsible to Saco Technology for all charges incurred by me on the service numbers I have provided to Saco Technology for transfer to them, after the date the transfer is effective. I understand I will still be responsible to my current telephone company for any charges which are incurred and/or billed up to the date the transfer is effective. I will contact my current telephone company in relation to providing service and any faults until the transfer is effective. I also understand that additional phone features like caller ID, message bank, multiple number, fax duet, call control and line hunt/rotary are an extra $7.95 a month and understand that this will be added to my monthly bill.

I/we acknowledge and understand that there is a $29.95 fee to setup my new Saco Technology mobile service weather it is a new number or transferring from my current provider and understand that it will be added to my first months bill.

Mobile Connection Type

Mobile Plan

Make and Model of Your Mobile

Below please tick the features you would like enabled on your mobile

GPRS

WAP

MMS

Voicemail

Int Roaming

Mobile Connection Type

Mobile Plan

Make and Model of Your Mobile

Below please tick the features you would like enabled on your mobile

GPRS

WAP

MMS

Voicemail

Int Roaming

Only complete if transferring your mobile service to Saco Technology

I acknowledge and agree to the following information to be used by my existing mobile service provider to authorise the port of the following mobile service numbers to Saco Technology.

Preferred Transfer Date

Current Mobile Number

Current Mobile Provider

Current Mobile Account Number (Postpaid) or DOB (Prepaid)

Current Mobile Number

Current Mobile Provider

Current Mobile Account Number (Postpaid) or DOB (Prepaid)

*Porting hours are 8.30am to 4pm Mon-Thurs and 8.30am to 3pm on Fri (AEDST/AEST), except national public holidays. Place within 30 days of the authorisation date on this form. I authorise: The above mobile service numbers to be ported to Saco Technology the mobile service numbers listed above, the identity of my new service provider (�Saco Technology) and network type to be disclosed to other network providers and portability service suppliers for the purpose of complaint handling, network fault management, and the routing of calls and SMS messages to my mobile service number after porting activity has taken place. A nominated representative of Saco Technology (acting in good faith) to complete and sign a new MNP Customer Authorisation for the purposes of carrying out the port to Saco Technology in circumstances where this MNP Authorisation expires, additional details are to be added, editing or deleting details are required. A nominated representative of Saco Technology (acting in good faith) to complete any blank spaces, missing or incomplete information on this MNP Customer Authorisation on my behalf. I acknowledge and agree that: I am authorised to request the porting of the mobile service numbers listed on this form I have been advised that by porting the mobile service numbers listed on this form, the service and/or related services associated with that number may or may not be disconnected from the existing mobile service provider, and may result in finalisation of the account. The Authorisation Date is the date I signed this MNP Customer Authorisation. This MNP Customer Authorisation is valid for 30 days from the Authorisation Date. There may be costs and obligations associated with my existing mobile service and with porting my mobile service numbers; I may or may not have an existing contract with my existing mobile service provider; and My current contract may or may not include an obligation to make an early termination payment to my existing service provider.

Prior to accepting your application, you have provided to us all information relevant to our assessment of your credit rating You consent and acknowledge that you: Understand that the (Section 18(E)(1) Privacy Act 1988) allows us to give a credit reporting agency certain personal information about you, The information we disclose to a credit reporting agency includes permitted information which will allow you to be identified, the fact that you have applied for credit and the amount, the fact that we are a current credit provider to you, repayments that are more that 60 days overdue and for which debt collection action has started, information that in our opinion you have committed a serious credit infringement (that is, acted fraudulently or shown as intention not to comply with your credit obligations) and cheques drawn by you for $100 or more which have been dishonored more than once; Agree to our obtaining from a credit reporting agency a credit report containing information about your personal credit worthiness for all purposes of assessing your application and assisting in collecting overdue payments and to our obtaining information about your commercial activities or commercial credit worthiness (Section 18L(4) Privacy Act 1988) from any business which provides information about the commercial credit worthiness of persons, your accountant or any other supplier to you. Agree to our giving to and obtaining from any credit provider named in your Application or in a credit report (Section 18N Privacy Act 1988) on you issued by a credit reporting agency, information about your credit arrangements for the purpose of assessing your Application, notifying a default by you, allowing another credit provider to ascertain the status of your arrangements with us where you are in default with one or more other credit providers and generally assessing your credit worthiness; and Understand the information exchanged can include any information about your business, personal and/or commercial credit worthiness, credit standing, credit history or credit capacity which the Privacy Act allows credit providers to give to or receive from each other.

How did you hear about Saco Technology?

How would you prefer to be notified about the progress of your application? ?

Please complete the payment details below selecting either credit card or direct debt as your preferred payment option

Your selected payment method will be charged the mobile connection fee and or first months line rental and credited towards your account on completion of this application form

Payment Method

Mastercard

Visa

Direct Debit

Name on Card

Card Number

Expiry Date - MM/YY

Please complete the details below if you selected direct debt as your payment option above

Account Name

BSB

Account Number

I authorise and request the debit user detailed below to debit payments from my nominated account, as specified below, at intervals and amounts as directed by Saco Technology as per the Terms and Conditions of the Saco Technology agreement and subsequent agreements. I/We authorise Saco Technology to debit my/our account at the Financial Institution identified above through the Bulk Electronic Clearing System (BECS) in accordance to the Payment Details stated above or detailed in separate agreement and as per the Terms and Conditions provided. The administration of this agreement is conducted by Saco Technology and its third parties. The services provided by Saco Technology are administrative to the status of the Agreement and do not extend to the provision of any services or benefits of the Agreement as provided by the Business. This authority shall be interpreted and enforced pursuant to the laws of the state of Queensland. The Financial Institution may, in its absolute discretion, determine the order of priority of payments by it of any monies pursuant to this request or any other authority or mandate. Saco Technology or its third parties will provide 14 days notice if the payment amount (s) of frequency of the payments vary for future debits. It is your responsibility to ensure that you have sufficient clear funds in your nominated account to enable the direct debit to be honoured by your financial institution. Direct debits normally occur overnight; however transactions can take up to three (3) days depending on your financial institution. If your Debit request falls on a weekend or public holiday, it will be processed on the next working day. You are advised to verify account details against a recent bank statement and if uncertain you should contact your financial institution. If your Direct Debit is dishonoured or returned by your financial institution, for any reason, Saco Technology reserves the right to charge a dishonour fee, and re-present the Direct Debit for processing again on the next business day. Any dispute arising from this or subsequent direct debits are to be directed to Saco Technology on 1300 664 186 or in writing to the address provided above, or you may contact your financial institution If no resolution is forthcoming you are advised to contact your financial institution. If you lodge a DDR Customer Claim form with your financial institution they will investigate whether the transaction was authorised by you. If the transaction date was no earlier than 12 months from the date of your claim you should receive a response within 7 days from the date of your claim. If the transaction date was made earlier than 12 months from the date of your claim you should receive a response within 30 days from the date of your claim. We will keep your information about your nominated account at the financial institution private and confidential unless this information is required to investigate a claim made in relation to an alleged incorrect or wrongful debt, or otherwise required by law. You may stop, cancel , alter or defer your Direct Debit Request at any time, by contacting your Financial Institution or by providing at least 14 Business Days written notification to Saco Technology at the address detailed below. I/We authorise the Debit User to verify the details of the abovementioned account with my/our Financial Institution. I/We authorise the Financial Institution to release information allowing the Debit User to verify the abovementioned account details. I/We agree to accept payment notifications from the business by either E-mail or SMS as determined by the business. If I do not wish to receive such notifications I will contact the business directly so as to be omitted from such notifications.

I (the Customer) apply to Saco Technology for the supply of Telephone Services for the service numbers listed in section 2 of Part B and or for the supply of Mobile services listed in section 1 of Part C (and if set out in section 1 of Part C of this application) Mobile Equipment and acknowledge that: Telephone Services and or Mobile Services are provisioned subject to the Standard Customer Agreement and or Summary Customer Agreement which is a standard form of agreement for the purpose of Part 23 of the Telecommunications Act1997 (Cth) as filed with the Australian Communications Authority from time to time. By signing this Application I agree that I have been given the opportunity to read, or I have read, and agreed to abide by the terms and conditions set out in the Standard Customer Agreement and or Summary Standard Customer Agreement; This Application is deemed accepted by Saco Technology at the time my Telephone Services are activated or for Mobile Services at the earlier of the time my mobile Services are activated or my SIM is delivered; Saco Technology will bill me for calls made by my telephone lines and or mobile service numbers charges in accordance with the pricing that has been provided at the time of applying for the service and as amended from time to time; For Telephone Services, if I agree to a minimum term contract, under section 1 of Part B of this agreement, then early termination charges will apply if I terminate during that minimum term. Early termination charges will be as specified in section 1 of Part B of this agreement For Mobile Services, if I agree to a minimum term contract, under section 1 of Part C of this agreement, then early termination charges will apply if I terminate during that minimum term. Unless otherwise stated, the early termination charge is calculated by totaling the minimum monthly spend plus any additional monthly handset costs and multiplying this total figure by the remaining months left of the minimum term. By executing this application the signatory warrants that the signatory is duly authorized to execute this application on behalf of the customer set out in Section 1 of Part A. Important notice - If you are residential customer, a sole trader or partnership in NSW or a customer in the Northern Territory you are entitled to rescind (i.e. cancel) the contract you made at any time within the 5-business day cooling off period for NSW (that ends 5 clear business days from Application) and 10-calender day cooling off period for Northern Territory (that begins on the day we accept this Application), by sending a cancellation notice. This cooling off period is only applicable when you are contact directly by Saco Technology.

Full Name

Initials

Date - DD/MM/YY

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