Alchester Business Systems P.O.  BOX   124,       THE   BASIN, VICTORIA   3154,   AUSTRALIA Phone: + 61 3 97626293      Fax:  + 61 3 9762 6293

Purchase Internet HOURS Advice

Fill out all information completely for a prompt processing of your requirements

Alchester will add hours to your EXISTING account and bill you by return invoice.

For NEW USERS, all information is needed, and payment forwarded, prior to account opening.
We will contact you to discuss preferred account login names and installation services needed.

NOTE: If purchasing via Credit Card, please fill in, print and fax to (03) 97626293
(A   3% fee applies to purchases via credit card)

Date:	- dd/mm/yyyy
Applicant Surname:
Account LOGIN Name:
Select number of hours:	90 hours for $130.00. Max 10hrs / week 180 hours for $220.00. Max: 15hrs/week 365 hours for $365.00. Max 20hrs / week . (Choose a plan) For details, refer to: Internet Service Plans from Alchester
Credit Card: Cardholders Name Card Expiry Date - mm/yyyy Card Number Amount to be charged $ (add  3% card fee) Cheque Make cheque Payable to: Alchester Business System
	The following information is only needed if your are a NEW user:
First Name / Middle Initial
Address(Dept/Floor/Suite)
Address (Street)
Suburb/City
State
Country / Postcode
Contact Telephone / FAX
EMAIL ADDRESS:
Any comments about our service, or your requirements:

Email Now. **Print and Post, if Credit Card **

webmaster: webmaster@alchester.com.au Copyright © Alchester Business Systems 1997