Complete the application form below as required for speedy admission to Alpha Telecom's world of call savings!


Download our application form and fax it to Alpha Telecom on 02 9436 0844

Or fill in our online account Application Form

 
Yes, I want to join the HomeSaver Service
  
 
Fields marked with an * are compulsory and must be entered correctly and accurately for your details to be processed.

Contact Details
Full name *
Address *
Suburb * Postcode *
Daytime Tel * Mobile
Email *
Agent Code
(enter the code or name of the person who referred you to Alpha Telecom)
How would you prefer to pay?
Prepay By* Postal Order Cheque Credit Card
Amount* $30 $50 $100 Other $ (Min $30)


Make your choice
The Alpha Preselect Option.
This option automatically connects you without needing to enter an override code. Alpha’s network recognises your number/s when you call the access number.
The Alpha Override Option.
You only use your account when you want to. When you want to use you dial the Override code 1428.
Yes, please register me for pre-selection - Tick here YES NO *
If you are choosing Alpha Preselect or Alpha Override you need to register the home or office telephone numbers that you want linked to your account. I want to register the following phone numbers:
Register the following numbers - (include the STD codes )* 1
2
3

Declaration
I have the authority to make this charge and I confirm these details are correct. I agree that execution of this application form is legally binding. I hereby apply for the Alpha Telecom services listed above and acknowledge that the service will be provided subject to the Terms and Conditions as shown on our website-www.alphatelecom.com.au. For Pre-selectable service, I understand that by nominating Alpha Telecom Ltd as the preferred carrier for the telephone numbers listed above, Alpha Telecom will become the carrier of choice for International and National long distance services and calls to mobiles. I authorise Alpha Telecom to take any further action to put this request in to effect.
I hereby confirm that I accept the Terms and Conditions for Use: