AUTOPAY via Visa, Mastercard or AMEX (2.2% surcharge applies) DIRECT DEBIT (Please complete the Direct Debit form on Page 2)

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1 Business Plus Application Form CUSTOMER DETAILS Title: Given Name: Surname: Business Name: ABN: Telephone: Mobile: Date of Birth: Unit/Villa: Street Number: Street Name: Suburb: Postcode: BILLING METHOD Please select from a direct debit method below: AUTOPAY via Visa, Mastercard or AMEX (2.2% surcharge applies) Name (as it appears on the card) CARD NUMBER DIRECT DEBIT (Please complete the Direct Debit form on Page 2) CHEQUE ACCOUNT (Please complete the Direct Debit form on Page 2) FuzeNet Pty Ltd ABN: PO Box 557 Gladesville NSW 1675 service@biz-plus.com.au Page 1

2 REQUEST AND AUTHORITY TO DEBIT THE ACCOUNT NAME BELOW TO PAY FUZENET PTY LTD REQUEST AND AUTHORITY TO DEBIT Surname or Business Name Given Name or ABN/ARBN You request and authorise FuzeNet Pty Ltd to arrange, through its own financial institution, a debit to your nominated account of any amount FuzeNet Pty Ltd has deemed payable to you. This debit or charge will be made via the Bulk Electronic Clearing System (BECS) from your account held at the financial institution you have nominated below and will be subject to the terms and conditions of the Direct Debit Agreement. DETAILS OF FINANCIAL INSTITUTION WHERE ACCOUNT IS HELD Name of Financial Institution DETAILS OF ACCOUNT TO BE DEBITED Name(s) on Account BSB [6 DIGITS] ACCOUNT NUMBER ACKNOWLEDGEMENT By signing and/or providing us with a valid instruction with respect to your Direct Debit Request, you have understood and agreed to the terms and conditions governing the debit arrangements between you and FuzeNet Pty Ltd as set out in this request in your Direct Debit Service Agreement. Signature [1] Position [if Business] Date Signature [2] Position [if Business] Date Page 2

3 SELECT PLAN - INTERNET HIGH SPEED INTERNET BizNet offers Super Fast Internet services via a carrier grade fibre optic network, capable of delivering speeds of up to 1000/400 Mbps. At pricing comparable to ADSL and Ethernet First Mile technology, your business will receive speeds up to 8 times faster than traditional providers. BizNet 100 (100GB per month) 25/5 Mbps - $ /20 Mbps - $ /40 Mbps - $ /400 Mbps - $ BizNet 500 (500GB per month) 25/5 Mbps - $ /20 Mbps - $ /40 Mbps - $ /400 Mbps - $ BizNet 1000 (1000GB) BizNet Max () 25/5 Mbps - $ /400 Mbps - $ /20 Mbps - $ /40 Mbps - $ Additional Services Static IP - $10/month For an extra $50 a month, customers can choose to have their upload speed match their download speed (e.g upgrade from 100/40 Mbps to 100/100 Mbps). This upgrade is available on all of the above plans. Upgrade to matching download/upload speeds Internet Contract Terms Contract 12 months 18 months Set Up Fee $199 $99 Router costs $99 plus $19.95 postage and handling fee All prices excluding GST. All speeds are provided as "up to" speed and are not guaranteed. Minimum cost on a 12 month contract for BizNet 100 on 25/5Mbps is $ , on 50/20Mbps is $ , on 100/40Mbps is $ and on 1000/400Mbps is $ BizNet 500 on 25/5Mbps is $ , on 50/20Mbps is $ , on 100/40Mbps is $ and on 1000/400Mbps is $ BizNet Max on 25/5Mbps is $ , on 50/20Mbps is $ , on 100/40Mbps is $ and on 1000/400Mbps is $ Excess data charges apply once monthly data allowance is exceeded. 1000/400Mbps plan may not be available at all service locations. Page 3

4 SELECT PLAN - VOICE BizTalk Voice Plans are available when bundled with an Internet service: BizTalk 10 BizTalk 20 BizTalk 30 Local Calls 10c per call National Calls 15c per call Mobile Calls 28c per minute 21c per minute 13/1300 Price per month $10 per month $20 per month $30 per month All prices excluding GST Bundle Contract Terms Internet and Phone services Contract 12 months 18 months Set Up Fee $149 $49 HOSTED PBX Router costs $99 plus $19.95 postage and handling fee BizPBX offers your business a professional phone system without the large upfront investment. BizPBX features include internal voice recording, greeting, hunt groups, time of day conditions and the ability to transfer calls between phone extensions and locations. Best of all, BizPBX can be easily upgraded as your business expands. $9.50 per extension* ($49 Activation Fee) Number of Extensions Self Service Portal Hunt Groups Features include: Internal Voice Recordings Voic to *All prices excluding GST. PBX handsets and network switch required to use Hosted PBX service which can be purchased or rented from BizPlus. Must be purchased with a BizTalk Plan. Maximum of 5 extensions per BizTalk Plan. Announcements Time of Day Conditions Page 4

5 SETUP FEES AND EQUIPMENT - TELEPHONE Telephone set up is FREE 2 Port ATA - $99 8 Port ATA - $300 Handset Rental GXP $9.50 Handset Rental GXP $11.50 Handset Rental Yealink SIP-T46G - $11.50 Online Installation (8 Port ATA) - $99 Online Installation (2 Port ATA) - $99 Onsite installation fee of ATA is charged on top of the charge for equipment. Handset rental is charged monthly ADDITIONAL SERVICES Inbound Number Rental (per month) Geographic Number - $5 Value Added Line Surcharges (per month) Calls for Value Added lines are rated at the BizTalk10 call rates 1800 Number - $10 EFTPOS Line Alarm Line 1300 Number - $15 Fax Line Security Line MANAGED WIFI BizPlus WiFi is a managed WiFi solution which is designed to offer hotspot Internet access to your guests and clients. A dedicated high speed Internet service is supplied with BizPlus WiFi to ensure Business Net Internet service is not impacted by guests'/clients' use. 200GB $ GB $ GB $ Set Up Fee 12 months $ months $299 AGREEMENT Please refer to the Standard Form of Agreement for full terms and conditions. By signing and/or accepting the provisioning and installation of Business Plus services I have accepted the FuzeNet terms as stated in the Standard Form of Agreement. SIGNATURE NAME DATE Page 5