Apply online now!

Upon receipt of your online application, one of our friendly Customer Relations Officer will contact you within 24-hours to confirm your information and conduct a Verbal Recording if applicable. Upon approval of your application a Representative will contact you to arrange payment method, documentation and fulfillment of your order. This process may take up to 10 working days.

Order online or call
1300 666 000

Lines open Monday to Friday 9:30am - 5:00pm AEST

 

Privacy Statement

You must be over 18 to complete this application. What we will do with your information: By providing/entering your personal information to us using this online form, you have given us consent to process your application for the specified product or service as requested for. Your personal data will be transferred to AMD Telecom Pty Ltd ABN 71 091 381 476, Melbourne Australia where our servers are located.

We take care that your personal information is handled in a manner consistent with local data protection/privacy laws. By submitting this form you understand that your personal data will be transferred to AMD and consent to the personal information you have supplied being stored on our servers being added to a local database.
For further information on handling of personal information please view our Privacy Policy.

Submit a sales request

Title:
First Name:
Surname:
Home Telephone with Area Code:
example: 02-8765 1234
Street Address:
Suburb:
Postal Code:
State:
Email:
Mobile Number - mandatory field
Additional Information:

Do you wish to recieve information from us in the future?

© 2006 AMD Group Pty Limited ABN 71 091 381 476.