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Business
Name:
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Name: |
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*Last
Name:
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*Street:
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*Suburb:
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*City
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*Postal
Code
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*Phone:
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Fax:
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Current Email:
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So
that we can best accommodate your needs, please enter
a single word or phrase that we will associate with
your account to verify you over the phone for assistance. |
| Phone
Passphrase: |
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You
need to choose a User ID and Password. The password
MUST be 6 to 8 characters long and only contain letters
and/or numbers. It is case sensitive. Your e-mail address
will be your User ID @5star.net.nz |
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*Choose
a User ID:
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*Choose
Password:
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*Confirm
Password:
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Our
account billing cycle starts on the first day of each
month. Charges for each month are invoiced on
or about the first day of the month. |
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*Account
Type(all prices include GST)
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If
you do not wish to use our secure server, you may telephone
or fax your credit card details to us, otherwise complete the
information online to expedite opening the account. |
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*Payment
Method:
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Credit
Card Type:
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Cardholder
Name:
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Credit
Card No:
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Expiry Date:
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