Name: Business Telecom
Address: L4/460 Church Street, North Parramatta, NSW, 2151, Australia
Telephone: 1300 721 100

1. Please provide your Full Name

2. Please provide your Business Name

3. Please provide your Account Number

4. Have you initiated the transfer of your lines to another service provider?

Yes
No

5. Please provide us with your new service provider so we update the transfer request

6. Reason for transferring your services away

7. Have you received all your Termination figures from the Business Telecoms billing team?

Yes
No

IMPORTANT NOTE: IF THE SERVICES DO TRASNFER AWAY, EARLY TERMINATION FEES WILL APPLY IN ACCORDANCE WITH YOUR SIGNED APPLICATION AND SIGNED TERMS AND CONDITIONS. IF YOU HAVE OTHER SERVICES STILL ACTIVE WITH BUSINESS TELECOM ASIDE FROM THE NUMBERS YOU ARE TRANSFERRING, E.G INTERNET, PSTN LINES, ETC, YOU WILL CONTINUE TO BE BILLED FOR THESE SERVICES UNTIL YOU EITHER PORT AWAY OR ADVISE US TO DISCONNECT THESE SERVICES. PLEASE NOTE THAT WE REQUIRE 30 DAYS WRITTEN NOTICE TO CANCEL A SERVICE. EARLY TERMINATION FEES WILL APPLY IF THESE SERVICES ARE STILL IN CONTRACT.

I acknowledge I have read and understood the details and confirm my acceptance to the conditions noted above.

If you have any further enquiries, please do not hesitate to contact us on 1300 72 11 00.