AdslSignup - Global Internet

Company Information

Company Name *

Customer Id *

Contact Information (Technical)

First Name *

Surname *

Position *

Contact Phone *

Contact Email *

Contact Information (Administration / Technical contact #2)

First Name

Surname

Position

Contact Phone

Contact Email

Technical Information

Fax / Telephone number to receive Broadband ADSL access *

Broadband ADSL Installation address

Lot *

Section *

Suburb *

Please select an ADSL Access Service*
(This fee is set by Telikom. We'll include this cost on your monthly invoices and pay it direct to Telikom on your behalf.)

Is this Application part of any promotion and/or free offer?

* mandatory fields

THINGS YOU SHOULD KNOW

This Application Form is for ADSL Access Service only, does not include any free MB's and will only work in conjunction with an existing Global Internet Plan.
Prices quoted exclude GST and do not include any Customer Premises Equipment (i.e. an ADSL modem).
A one-time K25.00 Registration Fee will be charged to your account immediately. No other charges will begin until commissioning.
A one-time K50.00 Broadband ADSL Activation Fee and K17.34 Port Fee is payable upon commissioning.
We will begin processing your Application immediately.
Subject to Terms and Conditions from Telikom PNG.

I have read "Things you should know" and "Global Internet's General Terms and Conditions", and understand Global Internet may contact me to verify information I have provided.

I Agree