8 Market St.
 Ground Floor, 
Melbourne, Vic. 
3000 Australia

Wireless Capital 
Ph 9620 3939  
 Fax 9620 3938 
ABN 86 093336068 
First Name
Last Name
Company Name
Street Address
Address (cont.)
City &  State 
Zip/Postal Code
Mobile Phone
Work Phone
ADSL Phone
E-mail

Office use only
Date Notified Installation
Date Notified 
Initial Setup Fee=$320                             The once only minimum charge for initial installation.

Monthly Rate = $230 In Advance             
Your Site Labour Repairs Included Maximum 72 hr response* 
*PRIORITY Fee = $110.00 -  OPTIONAL        An additional charge for same day service on request.
On signature I have inspected the attached agreement terms and acknowledge and agree that I will abide by all conditions:-

Signed...........................................................          Date  :  

 
Setup
1st. Month
All prices include GST.      
GST component is $50.00
Initial
PAYMENT by
Cheque
EFTPOS
VISA
MCARD
AMEX

WIRELESS INTERNET IMPLEMENTATION

This agreement covers all setup
 and installation of the ADSL Phone
 connection and Wireless hardware
 to enable a Business to connect to
 the Internet via an ISP. 
ISP costs included.

 Initial setup payment must be received before any installation will be commenced.
  City Notebooks Pty Ltd and/or any personnel can not, nor will not, be held responsible for any perceived costs or loss, including loss of business, in the event of a re-occurrence of the original, or any related, fault. Whilst all care is taken by City Notebooks Pty Ltd, the customer assumes total responsibility for the goods at all times. Parts are covered under the warranty of the supplier. Hardware Related problems will be charged at the normal rate. All repairs include 30 days Service Support for the repair only.

Wireless Hardware Installed
Model
Operating I/P
Serial Number

Installed following Items: 

WiFi Modem
Power Adaptor
Power Cable
Smoked Dome
ADSL Splitter
WC Logo Sticker

Customer Signature 

 

 

 
 
 
 
 
I have read & agree to all terms & 
Conditions on form and sign below..

......................................................

Installed
Tested
Diagnosed
Repaired
Replaced
Reinstalled
Checked

Technician Comments:-