Name:
Position:
Company Name
ABN
Postal Address
Suburb
State
Postcode
Contact Number
Fax Number
Email Address
ADSL Connection Options
Plan Speed Price
Service Descriptions can be found here
Basic256/64kbps$69.95/month*
Intermediate512/128kbps$79.95/month*
Premium1536/256kbps$109.95/month*
Premium+Plus8192/384kbps**$129.95/month*
Corporate512/512kbps$129.95/month*
Enterprise E12048/2048kbps$POA*
* Additional administration fee of $1.10 for bank accounts, and 2.2% for credit cards, will be charged per direct debit transaction
** Not available in all areas
Modem/Router Selection – optional upgrade
1-Port Modem/Router(included)
4-Port Modem/Router$80.00
4-Port Wireless Router$110.00*
*Wireless Support not included
Contract Term / Installation fee
12 Month$299.00*
24 Month$0.00 (waived)*
*Remote installation. A cancellation of a contract within the initial term may result in an early cancellation fee
ADSL Service Details
Service Address
Suburb
State
Postcode
Phone Number for Service
New Connection Transfer
Phone Service Carrier
If transfering please provide existing ADSL Provider and service type
ADSL1 ADSL2+
Location of phone line
Back Office
Store
Other
Services already using phone line
Service Company Contact Phone
Security Alarm
Video Surveillance
EFTpos
Argent Line
Back Office System
Other
ADSL Site Contact Information
Onsite Contact Phone Number
Email
Technical Contact Phone Number
Email
In event of an issue, raise with Site Contact Technical Contact Other Other
ADSL Additional Site Requirements
Yes / No
Mailboxes (email) up to 10 included
Whitelist included
Additional mailboxes $POA
DNS Hosting $POA
Online Backup $POA
VoIP $POA
IP EFTpos $POA
Customized Network Configuration $POA
Roaming Access $POA
VPN Service - 24 month term
VPN initial Setup $176.00*
VPN user license setup fee $29.90
Initial VPN user license - per month $22.00
Additional VPN user license - per month $13.20
Number of VPN user licenses required
Wide Area Network (WAN)
WAN initial Setup - upto 8 sites $330.00
WAN initial Setup - per additional site $89.00
WAN site fee- per month per site $13.20
Prefered VPN site remote access method
RDP VNC Viewer PC Anywhere
*Remote installation. A cancellation of a contract within the initial term may result in an early cancellation fee
I have read and understood the Terms of Service
  • Bas-XConnect
  • Bas-X
  • Bas-X Events
  • Bas-X