SIP Access - Application Form

SIP Access – Application Form

SIP Access - Application Form

Use this form to connect a new SIP Access product

Step 1 of 5

New or existing account?*
- I don't have an account
- I have an existing account number
Account Number*
Account Name*
Dealer Information
Dealer
- Yes I am an active dealer (Please Tick)
Dealer Name*
Dealer Rep*
First Last
Organisation Name*
ABN / ACN*
Name*
First Last
Position
Phone*
Email*
Service Address*
Street Address Address Line 2 City State / Province / Region Post Code Country
Billing Address*
Street Address Address Line 2 City State / Province / Region Post Code Country

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Service Details
Telephone Number (DID) Allocation*
Quantity Required*
per month (inc GST)
Quantity Required*
Price: $ 15.00
per month (inc GST)
1 Channel is included at no charge for each DID
Number of additional Channels*
Price: $ 10.00
per month (inc GST)
Total Monthly Fee
$ 0.00
(inc GST)
I would like to configure this service*
- On my own SIP-based telephone system
- On my new/existing Hosted PBX system from BINARY/TRUECOM
Telephone Number Allocation*
- I would like to be provided with a new telephone number
- I would like to Port my telephone number(s) from another provider
Note: If you wish to port a telephone number, you must complete a Porting Authority Form
Please enter a locality for your new number(s)*

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Total Monthly Fee (inc GST)*
Contract Term*
Total Setup Fee (inc GST)*

Call Rates & Charges

Destination	Fee (inc GST)	Billing Interval
Local Calls	$0.11	Untimed
National Calls	$0.11	Untimed
Mobile Calls	$0.22 per minute	Billed in per second intervals
13/1300 Calls	$0.33	Untimed
1800 Calls	No Charge	Untimed

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I would like to pay via*
- Credit Card
- Bank Account
- Other (Specify Later)
Payment Method - Bank Account
Bank Account Name*
Bank Account Number*
Bank Name*
Payment Method - Credit Card
Name on Card*
Prefix First Last
Card Type*
Card Number*
Expiry Date*

Month (MM)
Expiry Date*

Year (YY)
CCV/Security Code*

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General Terms & Conditions
1. These terms and conditions are in conjunction with the Standard Form of Agreement (SFOA) available at: http://www.binarynetworks.com.au/legal/sfoa/ 2. The Fee shall be calculated in accordance with pricing model selected by the Customer as set out above on application form, unless changed by Supplier from time to time. 3. Customer is responsible for all usage on Customer's account and all the relevant costs relating to the provision of Voice over IP (VoIP) Services to Customer. 4. Installation, remaining monthly fees, hardware, calls made and configuration fees are not refundable under any circumstances unless otherwise agreed upon by the Supplier in writing. 5. Payment is via DIRECT DEBIT from a bank account or credit card only. This form will only be processed with a valid Direct Debit Request form on file. 6. Invoices are due by the due date. If payment is not made by the due date, Supplier may suspend or refer any outstanding amounts to a debt collection agency without further notice to the Customer. 7. Any payments will be first applied to any outstanding balances and then for any fees for Voice over IP (VoIP) Services for which the Customer then requires. 8. Any payment disputes must be made to Supplier within seven (7) days of receipt of invoice. After investigation, if the Supplier does not agree with the dispute, any outstanding fees will become immediately payable. 9. In cases were a bank account or credit card supplied is declined due to insufficient funds or Supplier principal bankers charge for any dispute fees, such fees shall become the responsibility of the Customer and the Customer shall pay Supplier this fee, plus a 10% service charge and any outstanding amounts immediately. 10. Each service will be assigned an initial $200 credit limit. Any increase will be at the discretion of Supplier. Customer may apply for an increase at any time, based on Customer payment and service history. 11. Supplier may, at its discretion, notify Customer that Supplier's acceptance of Customer application and ongoing use of the Voice over IP (VoIP) Service is conditional on you paying a deposit (the amount of which will be specified) in advance. If Supplier so notifies Customer, Customer must within seven (7) days of the notice, pay the amount of the deposit. The parties agree that the amount of the deposit will be applied by Supplier, at its absolute discretion, in payment of invoices issued by it, until such time as the amount of the deposit is exhausted. Once the deposit is exhausted, Supplier may require a further deposit. 12. Customer agrees that Supplier may modify the Voice over IP (VoIP) Service and the Voice over IP (VoIP) Service Levels from time to time. 13. Customer acknowledges that the Voice over IP (VoIP) Service may rely upon the operation of third party networks operated by third party carriers and third party services provided by other Carriage Service Providers (such as the Customer's Internet service). 14. Customer acknowledges that the Voice over IP (VoIP) Service may be switched from one third party network to another at any time which may result in a loss of service wholly or in part. 15. Customer further acknowledges that Supplier is unable to guarantee the operation of or the use of the Voice over IP (VoIP) Service through third party supplier networks or other third party carriers and Carriage Service Providers. Any failure of the Voice over IP (VoIP) Service caused by a third party network or third party service is beyond the control of Supplier, and Supplier will not be responsible to, or liable to Customer, for any such failures. 16. Customer acknowledges and agrees that Supplier does not warrant, and has not represented, that the Voice over IP (VoIP) Service is or will be free of errors, defects or interruptions, or that it will be available at all times. 17. Customer acknowledges that Supplier is required to supply certain Customer information to regulators for their purposes including but not limited any public number allocated, Customer's name and address, location of the Voice over IP (VoIP) Service being provided and the purpose of use. 18. Without limiting Suppliers Service Level obligations to Customer, Customer agrees that Supplier may from time to time; conduct maintenance on and of the network and infrastructure through which the Voice over IP (VoIP) Service is provided. Supplier will try to conduct such maintenance outside Suppliers usual business hours, but Customer acknowledges that it may not always be possible for Supplier to do so and Supplier shall not be liable for any interruptions in the Voice over IP (VoIP) Service Level during such maintenance operations. 19. Customer agrees that Supplier will not be responsible for rectifying any fault in the Voice over IP (VoIP) Service if that fault arises in or is caused by a network or infrastructure of another supplier of telecommunications services, Customers own equipment or any other infrastructure, equipment or facilities that are outside Supplier’s reasonable control or responsibility.
Supplier may choose (but is not obliged) to block calls to certain international destinations for the purpose of minimising the risk of toll fraud. At Customer’s request, Supplier may (but is not obliged to) agree to unblock calls to those destinations subject to the Customer agreeing in writing to accept the higher risk of fraud and all loss, cost, damage and expense in connection with calls made to those destinations and other terms as Supplier may determine. For clarity, whether or not Supplier blocks or fails to block, or at the Customer’s request unblocks, calls to certain international destinations, the Customer is responsible for all charges whether or not arising from unauthorised or fraudulent usage. The Customer is responsible, at its own expense, for installing and maintaining all equipment and cabling on the Customer side of the Service Delivery Point. Service Delivery Point is defined as the last piece of network equipment or cable owned by Supplier or provided by a third party on Supplier’s behalf. The Service Delivery Point is where Supplier responsibility ends. The Customer is responsible for managing the channel/capacity of the CTS Trunks so as to deliver an acceptable grade of service to Users for terminating calls via the Service. Caller Line Identification (CLI) The Customer must provide the CLI of the A-party to Supplier on all calls. The Customer acknowledges and agrees that:  if the User does not bar CLI in respect of calls terminated by the CTS Service, when a call is made using the Service, the relevant telephone number may be sent automatically to the equipment of the called party;  if a party calling a Supplier Hosted Number has not barred their CLI from calls made from their equipment, the telephone number of the calling party may be displayed on the screen of the handset which receives the call, if the handset is technically capable of displaying CLI; and  where a party calling a Supplier Hosted Number has chosen to bar CLI then, if the Customer requests, Supplier will pass the CLI of the calling party to the Customer via the Service, and the Customer must comply with its obligations under the Telecommunications Act 1997 (Cth) to bar the CLI prior to terminating the call to the User. The Customer agrees to indemnify Supplier for any and all loss, cost, damage, expense or liability that arises from failure by the Customer to comply with the requirements of this clause. Call Attempts per Second (CAPS) The Customer is solely responsible for understanding and managing their own traffic profile including the CAPS. The Customer must, before commencement of the Service, and thereafter on request by Supplier, provide details of forecast CAPS to Supplier to assist Supplier to supply the Service. The Customer must notify Supplier immediately if the Customer expects any change to forecast CAPS. For example, if the Customer plans to supply the Service to a User which operates a call centre, the Customer should reasonably expect a change to forecast CAPS and accordingly notify Supplier of the expected change. The Supplier reserves the right to request the Customer immediately reduce their CAPS and/or limit or restrict the Customer's CAPS as required. Failure to comply with a reduction in CAPS may result in termination the service. The Customer acknowledges that:  the Supplier Network is not necessarily a secure and confidential method of communication and the Customer transmits material on the Supplier Network at the Customer’s own risk;  Supplier does not and is not able in any way to supervise, edit or control the nature, content and form of any material available to be accessed through use of the Services and that Supplier is not responsible in any way for the nature, content and form of that material, access to that material or use of that material;  Supplier will not be responsible for ensuring that any material sent or received by means of the Services is sent or received correctly; and  to the full extent the law permits, Supplier makes no representation or warranty as to the effectiveness or fitness for purpose of any access restrictions, their network security or the Customer’s network security. The Customer must make no claim against Supplier concerning any access restrictions, Supplier’s Network security or the Customer’s network security. Emergencing Calling – 000 & 106 Supplier CTS service does not guarantee calls terminating to 000 & 106 or other emergency numbers.
CSG Waiver
9.1 In accepting this Service Description you acknowledge that you waive in whole your Customer Service Guarantee Rights under Part 5 of the Telecommunications (Consumer Protection and Service Standards) Act 1999 in relation to VoIP Service®. Please read the following paragraphs carefully. They contain information affecting your rights. 9.2 The Customer Service Guarantee (CSG) can be found on the Australian Communications and Media Authority website (www.acma.gov.au). 9.3 Part 5 of the Telecommunications (Customer Service Guarantee) Standard 2011 allows us to propose that you waive the protections and rights provided under the CSG. 9.4 We are offering significantly lower call costs for the VoIP Service Service, but we are only able to do so on the basis that we are not required to meet the CSG. 9.5 By agreeing to this waiver you agree to waive your protections and rights under the CSG. So that we may continue to offer lower costs, we require all of our customers to waive their rights in relation to the CSG. 9.6 The protections you are waiving are: The provision of written information (a) Provision of written information to you, at least every two years about: (A) the performance standards that apply to supply of specified services; (B) the obligations of the service provider under those standards; (C) your entitlements to damages under the Act for contravention of the performance standards; and (D) on request, the provision of information about a performance standard. (b) The prescribed maximum timeframes within which connection to services should occur. (c) The prescribed maximum timeframes within which rectification of service faults should occur. (d) Requirement to make appointments with you at times that are convenient for you that are either for a particular time of the day or nominate a five hour period during which the appointment will occur; and (e) changing appointments by giving at least 24 hours notice by obtaining your agreement to the change. 9.7 This waiver will take effect seven days from the date of you agreeing to it, unless you notify us that you no longer wish to waive your rights under the CSG. If you do so notify us, we reserve the right not to provide the service to you. 9.8 By agreeing to waive your protection and rights afforded by the CSG you will not be able to claim compensation from us for any failure by us to meet the prescribed performance standards.
Application Authorisation*
- I am authorised to enter into this agreement on the behalf of the company or entity. I have read, understood and agree to be bound to all terms and conditions relating to this agreement.
Phone
This field is for validation purposes and should be left unchanged.

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SIP Access – Application Form

SIP Access - Application Form

Step 1 of 5

Dealer Information

Service Details

Call Rates & Charges

Payment Method - Bank Account

Payment Method - Credit Card

General Terms & Conditions

CSG Waiver