Service Request

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Service Request

General Info

Contact Info

Name *

Phone *

Email *

Mobile

Fax

Company Info

Company Name

Company Address

Phone

Fax

Fault

Type of service you are having difficulty with:

Type Of Service
Phone Numbers Affected
Fault Description (as much detail as possible)

Do the effected lines operate via your phone system ?	Yes No
Type of calls effected

Preferred contact method by new telecom.	E-mail Phone call Mobile

Make/Manufacturer of the hardware
Fault Description

Your system's handset type (if applicable)
Phone extension affected(if applicable)
Preferred contact method by new telecom.	E-mail Phone call Mobile

Account Number or FNN/service number effected ?
Fault Description(as much detail as possible)

Please list any changes that have been

Preferred contact method by new telecom.	E-mail Phone call Mobile

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New Telecom Mobile Broadband is simply wireless internet access, letting you work when you want over the mobile phone network in Australia.