This form is for new customers, existing customers please submit a support ticket in the Zelan CRM system. Your login details for the CRM system are provided in the covering email with each invoice sent to you.
Contact name must be entered as it appears on Driver License or Passport.
Greeting should be how you'd like to be addressed in emails/phone calls, e.g. Legal Name = Leslie Indiana Smith, Greeting might be Les, Indy, Smudge....
|Service Type: |
|Service Level: |
|Payment Frequency: |
|Minimum Contract Period: |
Where Fibre is not available, we will quote for Wireless service delivery.
|Service fee: ||Detailed quote will be provided|
|Payment method:* |
|Installation fee: |
|Early Termination fee:* |
|Onsite repairs:* |
* See Terms & Conditions for exclusions or more details.