PAF - InfiNET Broadband Australia - Your Internet Service Provider

Porting Authority Form

Complete the form below
for us to port on your behalf.

1. Account holder:

Business Name (if under a Business Name)

Business ABN (if under a Business Name)

Title

Surname

Given Name(s)

2. Service Address Details

Unit No.

Street No.

Street Name

Suburb

State

Postcode

E-mail Address

Date of Birth (dd/mm/yyyy)

Telephone Number

Fax Number

3. I wish to port the following telephone number(s) to InfiNET Broadband:

Telephone No.

Current carrier

Carrier Acc No.

Number Type

Telephone No.

Current carrier

Carrier Acc No.

Number Type

Telephone No.

Current carrier

Carrier Acc No.

Number Type

Preferred cutover date (dd/mm/yyyy)

Preferred cutover time

Latest bill/invoice listing number/s to be ported

(At least 15 business days from today – if not provided then it is assumed to be required as soon as possible).

I authorise for the telephone number(s) listed above to be ported to IfniNET Broadband I acknowledge that I am authorised to request the porting of the telephone number(s) listed on this form. I acknowledge that I have been advised that: • by porting the above telephone number(s), the service associated with that telephone number is disconnected from the existing service provider’s network and may result in finalisation of the account for that service; • by porting the telephone number(s) listed on this form, any DSL/Spectrum Sharing service associated with that telephone number is disconnected and may result in finalisation of the DSL Spectrum Sharing account for that service; and • although I have the right to port the telephone number(s), there may be costs and obligations imposed by my current service provider associated with the port which may include early termination fees and porting fees. I agree that this Customer Authorisation is subject to the terms on the following page of this form.

Yes No

Authorisation Date

Name of Representative

Capacity (Select Option)

By executing this Customer Authority the signatory warrants that the signatory is authorised to sign this on the Customer’s behalf. * This Customer Authorisation is valid for 90 calendar days from this date.

Transfer your phone number to InfiNET Broadband for a one off fee of $20.00 per number (Category A Port)

$150.00 for 1-5 numbers on a complex Category C Port

For 13/1300/1800 Number port or activation, contact us for a quote on 13XXXX numbers.

Porting Authority Form

NBN & OptiComm

Information

Network Providers