1.Customer Information Name: Address: Email: Phone: Preferred date & time: Do you have an active phone line? YesNo 2. Current service provider Information VodafoneSpark2DegreesOther 3. Additional services I have my own router and/or TV Box.don’t have my own router or TV Box and would like to use yours.* *Warner telecommunication can provide a router and/or TV Box for you for additional refundable deposit. Actual height of deposit varies according to the router and/or TV Box. Tick this box if you want router added to your order. Additional shipping costs $10 in total will apply and are non-refundable. 4. Family Plan Please select your plan： FibreMAX 100/100 UnlimitedFibre 100/20 UnlimitedADSL UnlimitedADSL 200G/Month Payment：Monthly prepaidYearly prepaid 5.Do you need a on site service? (Auckland only) Yes（(service charge $99+gst）No We'll arrange for a standard install and activation of broadband/fibre on your existing phone/fibre line. Limited time offer: For the yearly prepaid customers, the onsite service is FREE.