Enter your name Mr Mrs Ms Miss

Address your DSL service is supplied to

Suburb                                 State          Postcode SA NSW VIC QLD WA TAS ACT NT

Billing Address (if different to above)

Phone number(s) the DSL service you want transferred is connected to (optional)

Name of current DSL service provider (optional) Telstra Bigpond OptusNet Internode iiNet TPG iPrimus AAPT Adam Internet Chariot Other

Acknowledgement: By submitting this form, you agree as follows: • you are the account holder of the DSL service(s) listed above, or are authorised by the account holder to transfer this service to Nodus Internet • the information provided in this form is true and correct • you have read and understood the terms of this transfer and our privacy policy • you understand that it is your responsibility to check the terms of your contract with your current DSL supplier to determine if there will be any consequences under that contract as a result of this transfer (such as an early termination payment).

If submission is successful, you will then be redirected to our signup page

Terms of this transfer
The terms of this transfer are:
• Nodus Internet will supply your DSL service from the date the transfer takes effect (we will notify you when that happens)
• You will pay Nodus Internet for all charges associated with the service from the date this transfer takes effect
• You will be responsible to your current DSL supplier for any charges incurred and/or billed up to the date transfer takes effect
• Nodus may refuse or cancel your service on the basis of its credit assessment of you
• After the transfer, you may not be able to receive certain benefits you currently receive from your DSL supplier
• You authorise Nodus to act on your behalf to transfer your DSL service
• If you require technical support for your DSL modem you will need to contact us to check whether we can provide that support
• Your DSL service will remain active with your current DSL supplier until the transfer takes place
• You will need to contact your current DSL supplier about any faults with your DSL service until this transfer takes place
• You may experience an outage in your DSL service of up to 4 hours whilst the transfer takes place