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Indigo Logo
Indigo Logo
Indigo Logo
Indigo Logo

Join Indigo

Either fill out this online application form or print out THIS pdf file, fill it out and fax it to us.


Dial Up Application Form
* Fields marked with an asterisk must be fully completed.

Your username may be between 2 and 8 lower case letters or numbers (no spaces or fullstops). It is used for loggin in and as the prefix on your email address. A choice based on your name, business or nickname is recommended. (Please Write Clearly).

Preferred *

Second Preference

User Details
Title *
First Name *
Surname *
Company Name
ACN/BRN (If Applicable)
Address *
Suburb *
State *
Postcode *
Home Phone *
Work Phone
Fax No
How did you hear about Indigo
Refered By
Your Current Email Address (If you have one)
Operating System
Windows 98
Windows 95
Windows 3.1x
Windows NT4
Windows 2000
Account Options
* 1 Off Connection Fee Monthly * Quarterly

Semi Annually

Bronze - Ultra low usage
$16.50 $49.50 $99 $198
Silver - Low Usage
$22 $60.50 $121 $220
Gold - Mid Usage
$33 $91.30 $182.60 $330
Platinum - Standard Usage
$44 $121 $240 $440
Diamond - Heavy Usage
$66 $187 $374 $660
Ulti-Net - Unlimited Usage
$29.95 $89.85 $179.70 $359.40

* Monthly Accounts occur a $5 administration charge per invoice unless paid by Direct Debit Credit Cards
# Pay as you surf Accounts must be paid by Direct Debit Credit Cards

Additional Services

  Second Email Address Onsite Training Home Installation Indigo Approved Modem


$33 Per Hour



Payment Options
Cash Cheque/Money Order Mastercard Visa Bankcard AMEX
Card No.
| | |
Full Name on Card

Please Direct debit from my credit card each time my account is due until further written notice.

Expiry Date

Indigo sends all bills via E-mail. Please tick here for Postal billing
Terms and Conditions

You must now read the terms and conditions (click here)

Print Name *
Date *
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