Telstra Wholesale - New Customer Form

STEP 1 OF 4

Contact details

First name (optional)

Last name (optional)

Business email address

Confirm business email address

Job title

Business phone number

Where is your business registered?

Business registered in Australia Business registered outside of Australia

NOTE: If your business is registered in Australia, you'll need to have your ABN and your current annual wholesale telecommunications spend range handy to complete this form.

STEP 2 OF 4

Business details

ABN

Don't have your ABN handy? Look it up on the ABN register

Business name

Company trading name

Parent company name (optional)

Is the business listed on a stock exchange?

Company website URL (Please include the http://)

Registered company address

City

State / Province

ZIP / Postal code

Country

STEP 2 OF 4

Business details

Business name

Company trading name

Parent company name (optional)

Registered company address

Country

State / Province

City

ZIP / Postal code

Company website URL (Please include the http://)

STEP 3 OF 4

About your business

STEP 3 OF 4

Product details

Which products and services does your business currently supply?

Voice minutes

Voice, landline, or wireless services

Internet

Data access

Mobility & bulk SMS

Facilities / duct access

Other (please specify)

STEP 4 OF 4

Enquiry details

STEP 4 OF 4

Contact details

Business details

Business details

About your business

Product details

Enquiry details

Enquiry details

Thanks for contacting Telstra Wholesale!