Celestial Enterprises

A Division of Down Under Consultants Pty Ltd. ACN 006 657 914, ABN 74 006 657 914.

P.O. Box 235 Ringwood VIC 3134. Phone 9724 9661

Internet Account Application Form

Personal Information

Title	: __________	Birth Date : ___/___/_____

Contact Name	: _________________________________

Business Name	: _________________________________ ACN/ABRN ____________

Postal Address	: __________________________________________________

__________________________________________________

__________________________________________________

Home Phone	: _______________ Business Phone : _____________________

Fax (Optional)	: _______________ Referred by (optional)_____________________

Account Information

Account Name (Maximum of 8 Characters, Lower-Case only)

Preferences : 1. _________@voyager.celestial.com.au 2. _________@voyager.celestial.com.au

3. _________@voyager.celestial.com.au 4. _________@voyager.celestial.com.au

Password (Min. 6, Max. 16, Alphanumeric,Place a slash in any zeros) : _____________________________

( Note: Password is Case Sensitive).

Business Subscription Rates:

Subscription Level	Code	Maximum Time per Day (minutes)	Maximum Time per Call (minutes)	Minimum Time between Calls (minutes)	Subscription Duration	Account Fee ($)* (inc GST)	Selection (Tick One)
Simply Email	BSE	30	30	5	365	99	
Lite Access	BLA	60	60	5	365	143	
Extra Access	BEA	120	60	5	365	176	
Traveller	BTR	180	90	5	365	209	
Highway Hog	BHH	240	120	5	365	242	

*Note: All prices quoted include a 10% GST.

Agreement Information (Signature Required)

I have read the “Celestial Enterprises Terms and Conditions of Use”, and agree to abide by them.

Should the applicant be under 18 years of age, the application must be signed by the applicant’s parent/guardian. In the case of the applicant being under 18 years of age, I the parent/guardian agree to be responsible for the actions of the applicant while using their account with Celestial Enterprises.

Date: ___/___/20___

Full Name (Block Letters): _______________________________________ Signed: _____________________

Lodging the Application

After the application form has been completed and signed, attach a Cheque for the full amount (made payable to “Celestial Enterprises”) and post to: Celestial Enterprises

P.O. Box 235

Ringwood VIC 3134

Upon receipt of the application form, the applicant will be notified of any discrepancies within the application form and/or of account activation. For further enquires, please contact the registration department via phone on 9724 9661 or via Email at register@voyager.celestial.com.au.

Office Use Only Records	Payment	Cleared	Created	Activated	Date _________	Ref.

Celestial Enterprises

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2000-12-06T12:17:00