Star Telecom - Service Transfer Form

Are you a new or existing customer? *

Account Name *

Second Contact Name

Contact Number

Email Address

Company Name *

ABN / ACN *

Authorised Representative *

Driver's Licence Number *

Date of Birth *

Service Address *

Is the billing address different?

Service Provider	Service No.	Charge (Ex-GST)	Description	Provider / Acc No.

Subtotal (Ex-GST) $0.00

GST (10%) $0.00

Total (Inc-GST) $0.00

Do you need new devices? *

Device Name	Charge (Ex-GST)	Description

Subtotal (Ex-GST) $0.00

GST (10%) $0.00

Total (Inc-GST) $0.00

Special Requirements or Additional Information

Click to upload supporting document

(PDF, DOC, JPG, PNG)

I confirm the above information is true and authorize the transfer. *