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Please sign and fax to: 02 6553 1718

LiSP

ABN 84 071 617 966

LiSP Pty Ltd
"Your Local INTERNET Service Provider"
INTERNET ACCESS BUSINESS APPLICATION FORM
Lithgow / Blue Mountains
LiSP Pty Ltd. PO Box 114, Lithgow NSW 2790.
Phone: 02 6352 1752 Fax: 02 6353 1718


TITLE:

NAME:

SURNAME:

BUSINESS NAME:

EMAIL:

ADDRESS:

TOWN:

POSTCODE:

PHONE:

FAX:  

USERNAME (2-8 characters , a-z, 0-9)

COMPUTER TYPE eg; (MAC, IBM)

OPERATING SYSTEM

L.i.S.P SERVICES (Please indicate your preferences with a )

Onsite Connection fee (one off fee).

$44

Setup and tutorial fee is payable to the individual doing the installation. This is separate from the Account Creation fee listed below.

Account Creation fee -
LiSP Lithgow setup program - 782k

$11

This is for the creation of your Internet access account and E-mail address.

All payments must be made in advance. Please indicate how many hours of Internet access time you require, from the four options below. (Web space: - first 5 meg free with an appropriate access plan) Please

BUSINESS PLANS

$1.10 per hour

$11 minumum per month.
(6am and 6pm. Excess hours $3.85 incl GST).

$42.90 per month

Continious connection Business Hrs Only
(6am and 6pm. Excess hours $3.85 incl GST)

$275 per month

Permanent connection

$715 per month

64k permanent connections

ADSL (Check availability) 16:1 ratio
Setup $627- 12 Month contract
512/128 $319/month
1.5/256 $682/month
DSL
512/512 $440/month

NB: Connection Fees and Business plans include GST. To calculate the GST divide the amount by 11.


ADDITIONAL INTERNET SERVICES (Web Services & domain hosting):
(Please refer to the L.i.S.P Pty Ltd - Additional Internet Services APPLICATION FORM)

Paying by: cash cheque or money order AMOUNT: $

Paying by: Credit Card . AMOUNT: $

Card Type: Bankcard Visa Mastercard

 Card Number:

Name on card:

Signature:

Expire Date:

Although we are very helpful people, please understand LiSP Pty Ltd is only a provider of Internet Access. We can't be responsible for your software updating and maintenance of your computer.
There are many local computer businesses that can give you assistance with computer problems.
There is an enormous amount of on-line help to be gained from the Internet and our "Dr LiSP".

I have read the "Conditions of Use - LiSP Pty Ltd" and agree to the terms and conditions therein.

Signature Date

(All rates are inclusive of GST. To calculate the GST divide the amount by 11.)