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Application form - Mobile Postpaid (PDF, 608KB) - Du

Application form - Mobile Postpaid (PDF, 608KB) - Du

Application form - Mobile Postpaid (PDF, 608KB) - Du

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Handset/device (if applicable)<br />

I acknowledge and accept that as a smartphone subscriber, I’ll be charged the standard Data Bundle prices after the promotional discount period.<br />

*Make and model<br />

IMEI number<br />

Indoor Signal Booster<br />

Indoor Signal Boosters (4 channel/small)<br />

Indoor Signal Boosters (4 channel/large)<br />

Serial number<br />

Agreement<br />

Tick here if you’d like us to publish your mobile number in our telephone directory and make it available through our directory enquiry service: Yes No<br />

I agree by signing below that: I’ve ordered the indicated services and agree to the minimum monthly usage as shown above and that I accept du’s Terms and Conditions<br />

for Consumer Services, as shown on the back of this <strong>form</strong>; I take full responsibility for the use of these services by any other users I add to this account. I agree that use of<br />

iPhone means I accept Apple’s iPhone Software Licence Agreement and other terms in the documents accompanying the iPhone in its package.<br />

1 GB monthly fair use policy for International and Social BlackBerry service, and roaming deposit.<br />

I acknowledge and agree that:<br />

(a) Multi SIM (s) will be provided under the main mobile account with the same mobile phone number to use on multiple mobile devices.<br />

(b) I will be responsible for the use of all SIM (s) registered under my account and their respective usage and charges.<br />

(c) All incoming calls can be received on all of the SIM (s), whereas messages can be received by my nominated primary SIM only.<br />

Sometimes we have new products or special promotions which we think you might find interesting.<br />

If you’d like to be kept in<strong>form</strong>ed, tick here: Yes No<br />

*Signature<br />

*Date<br />

/ /<br />

DD MM YYYY<br />

Place SIM barcode sticker here:<br />

*Mandatory fields. +Roaming Service Required<br />

Monthly plan and NPP Forms A4.indd 2<br />

11/22/12 4:49 PM

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