Hosted Application Form

NGV Business Hosted Application Form

Date of application (required)

Date service required (required)

Billing & contact details

Company Details
Company Name

Company ABN

Representative Name

Install Address

Billing Address

Office Number

E-Mail

Secondary Contact Details

*Please see attached terms and conditions or visit our website at www.ngvwifi.com.au

Security

To ensure your privacy you may be asked to identify yourself with personal information.
This may include any such information you provide on this application agreement, however for added security, please choose a question that only you will know the answer to: e.g My place of birth.

Question

Answer

NGV Telephone Solutions

Hosted Services

Small Business Plan $25.00 p/mMedium Business Plan $44.00 p/mCorporate Plan $150.00 p/m

Plan Inclusions and additions

Small Business Plan

Included
1 Phone extension
1 Phone number
Voicemail Service

Add-ons
Additional Phone Number $5 p/mVirtual Fax $10 p/m

Medium Business Plan

Included
2 Phone extension
2 Phone number
Voicemail Service

Add-ons
Additional Phone Number $5 p/mVirtual Fax $10 p/mAdditional Extension $15 p/mIVR (Interactive Voice Response) $20 p/m

Corporate Plan

Included
10 Phone extension
10 Phone number
Voicemail Service

Add-ons
Additional Phone Number $5 p/mVirtual Fax $10 p/mAdditional Extension $15 p/mIVR (Interactive Voice Response) $20 p/m100 Number Range $44.95 p/m

Telephone Hardware

Please write the number of handsets required in the box provided next to each option. Leave blank if not required.

Polycom VVX 311 6 Line Desktop POE Phone
Purchase Outright $230.07 each

Lease 12 Months $20.50 p/m each

Lease 24 Months $11.01 p/m each

Polycom VVX 411 12 Line Desktop POE Phone
Purchase Outright $311.52 each

Lease 12 Months $27.76 p/m each

Lease 24 Months $14.92 p/m each

Polycom VVX 501 12 Line Business Media POE Phone
Purchase Outright $391.58 each

Lease 12 Months $34.90 p/m each

Lease 24 Months $18.75 p/m each

Polycom VVX 601 16 Line Business Media POE Phone
Purchase Outright $503.23 each

Lease 12 Months $44.84 p/m each

Lease 24 Months $24.08 p/m each

All hardware purchases are applicable to an $80 freight charge which will appear on your first invoice. This is a flat shipping rate regardless of the number of handsets purchased.

Yealink hardware is available upon request.

*For all telephone hardware leasing plans, if the contract is cancelled inside the minimum term, the customer is to pay the difference between the purchase outright price and the monthly fees already paid to date.

*NGV retains ownership of all hardware provided to customers on leasing plans. At the expiry of the agreement, all hardware must be returned to NGV in a satisfactory working order. Failure to do so will incur an additional charge for replacement of damaged hardware, charged at the purchase outright price.

*For additional costs and information please check the terms and conditions.

Inbound Call Costs

1300, 1800 & 13 NumbersConnection Fee (*charged once only) $25.00

	1300 Number	1800 Number	13 Number
Monthly Fee	$15.00p/m	$15.00p/m	$830.00p/m
Local Calls	10c per min	10c per min	10c per min
National Calls	10c per min	10c per min	10c per min
Mobile Calls	19c per min	19c per min	19c per min

*By consenting to a new connection or porting of existing number, you agree to pay the monthly service fee and Inbound call charges as nominated above.

Additional Services

Below information is requested for an authorised account holder with the company that we will port the number/s from:
Title:

Last name:

Given name(s):

Date Of Birth:

E-Mail Address:

Current Service Address:

Address For Installation:

Numbers to port:
*please separate numbers by comma, If porting a number range use first number of range with a hyphen then the last number in the range*

Previous Carrier:

Previous Carrier Account #:

Local calls: 12c unlimited

National calls: 12c unlimited

Australian mobile calls: 19c per min

13/1300 calls: 35c per call

International rates: From 11c per min (plus 5c flag fall) to Belgium, Canada, China, France, Spain, Germany, Hong Kong, Netherlands, New Zealand, UK and USA.

**For additional costs and information, including call exclusions, please check the terms and conditions.

Direct debit

Direct Debit payment method is mandatory in order to receive services from Next Generation Voice Pty Ltd.

We direct debit from your nominated Visa or Mastercard credit/debit card on/about your invoice’s due date. Please complete all the fields below.

Card Number

CVC

Expiry - Month

Expiry - Year

Signature

Invoice delivery

Billing email address

Signature and acceptance

I request the supply of the above services on the terms & conditions and customer agreement provided.
I warrant that all information in this application is true and correct. If I am an individual applicant I consent under the Privacy Act 1988 (Cth), to the access, use and disclosure of information by NGV in any circumstances not prohibited by the Act. I warrant that I am NGV’s customer in respect of the services.
If the Customer is a company, signatory hereby warrants that he/she is duly authorised to sign this application on behalf of the Company.

Representative Full Name

Date

To return your completed application you can email it to us at: provisioning@ngv.com.au or mail it to us at: 1/37 Expansion St, Molendinar, QLD 4214.

Signature

General terms and conditions

NGV provides support services for Internet related issues between the hours of 8.30am and 4pm, Monday to Friday only.
This excludes public holidays. The contact number for support is 1800 007 648. After hours support available for
emergencies only.
Limitations of the service: NGV will use reasonable commercial endeavours to provide a continuous service. However,
makes no guarantees that access will be available at all times and, to the extent permitted by law, will not be liable for any
losses whatsoever that may be incurred as a result of the unavailability of the Service. You acknowledge that there may be a
reduction in availability during periods of maintenance and enhancement of the Service The installation of the services may
cause temporary interruption to current Internet provision or telephony services.
The NGV service can be connected to a Switch or Wireless Router to service multiple PC’s.
NGV is not responsible for malicious attacks by Virus, Trojans & Worms which may cause the user’s computer to be
damaged or require repair. All PC protection software is the sole responsibility of the end user.
Service connection fee is determined by the NBN and is in addition to any fees contained in this agreement.
If a tech install (site visit) is required, an additional $100 charge will apply, please contact our office if you are unsure if
you will require a visit.
The minimum service contract is 1 month, there is no lock-in period and you are free to disconnect your service after the
first month.
New connections will be pro-rata from the date that the service is connected.
All prices stated on this application form are inclusive of GST.
For full terms and conditions please visit our website at: www.ngvwifi.com.au
Fair & Acceptable Use Policies apply.
The Principal Carriers that own the networks that NGV utilise to provide consumers their agreed services are Telstra, Vocus Communications, AAPT, Exetel and Superloop.