4G New Connection

PLEASE COMPLETE THE FOLLOWING FORM AND WE WILL RESPOND PROMPTLY.

CONNECTION PLAN

4G WIRELESS CONNECTION PLAN*

I select the following Minimum commitment period.

A. FREE Connection with 36 Month commitment OR Existing MSE 4G Connection

B. $199 + GST Connection Fee with 24 Month commitment

C. $299 + GST Connection Fee with 12 Month commitment

D. $399 + GST Connection Fee with No Lock In Period

4G MONITORING SERVICE LEVEL*

1. Basic Class 2 (1 x SIM) = $8.50 + GST Wk

2. PREMIUM Class 2 (1 x SIM) + Mobile Notify App = $9.00 + GST Wk

3. PREMIUM Class 2+ (2 x SIM) + Mobile Notify App = $12 + GST Wk

4. HIGH SECURITY Class 3 (2 x SIM) + Mobile Notify App = $16 + GST Wk

Recurring Invoicing Period?

3 Monthly

6 Monthly

12 Monthly

4G MOBILE APP*

4G MOBILE APP - Administrators Name*

NOTE: Administrator has the authority to add, edit or remove all other App users.

4G MOBILE APP - Administrators Mobile No:*

4G MOBILE APP - Administrators Email:*

CUSTOMER DETAILS

Client/Site Name:*

Trading as: (if applicable)

Site Phone*

Site Contact Email*

Client/Site Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

PROVIDE IMAGES AND PLANS HERE:

Please provide a photo of your alarm keypad and floor plans etc so we can assist you promptly and professionally.

Drop files here or

Max. file size: 35 MB.

Additional Works Required?*

If you require additional works conducted in association with this 4G Connection Please confirm the additional services required?

Description of Additional Works?

Please provide a detailed description of the additional works you require.
NOTE: Additional works will be charged at Do & Charge schedule of rates.

ACCOUNTS/BILLING INSTRUCTIONS

Accounts/Billing Details*

Accounts Contact First Name*

Accounts Contact Last Name*

Accounts Contact Email*

Accounts Contact Phone*

Accounts Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

ALARM MONITORING NOMINATED CONTACTS

The following section is the Nominated Contacts for clients with Remotely Monitored Security Systems only.

Premises Voice ID Code

Premises Voice ID Code is utilised when individual Voice ID Codes are not required for each individual user as defined below. NOTE: Use a secret word (min 4 letters) in combination with a secret number (min 3+ numerals)

1. Nominated Contact

Contact Name:

Primary Ph:

Secondary Ph:

PIN Code:

Voice ID Code:

2. Nominated Contact

Contact Name:

Primary Ph:

Secondary Ph:

PIN Code:

Voice ID Code:

3. Nominated Contact

Contact Name:

Primary Ph:

Secondary Ph:

PIN Code:

Voice ID Code:

4. Nominated Contact

Contact Name:

Primary Ph:

Secondary Ph:

PIN Code:

Voice ID Code:

IMPORTANT NOTE:*

I have read and acknowledge the following IMPORTANT NOTICE.

1. A Premises Voice Identification Code is required for all persons that will be contacts for the security of the site, to identify themselves when communicating with our VIP Monitoring Centre. You can share the premises voice ID or individuals can have individual ID’s (Recommend a combination of 2 or 3 Numbers with 2 or 3 letters (EG: AGD-001). Please avoid using birthdays and premises numbers for voice codes as they are too easy to guess.

2. P.I.N Codes are Personal Identification Number Codes that are typically a 4 Digit numeric code for accessing your security system. WARNING: DO NOT USE birth years, birth dates or other easily identifiable numbers as they are easy to guess and will seriously compromise your security.

3. Nominated Contacts in the event of an Alarm condition. We recommend that if you are responsible for taking control of the site’s security, you should be listed as the 1st contact for the site and provide your after hours details.
If applicable, you will also need to provide us with the contact names and numbers of other nominated after hours contacts, including the details of their after hours phone numbers. We suggest at least 2 in order of priority including yourself.

4. PRIVATE PATROL RESPONSES
In the event of an Alarm and the Nominated Contacts you have provided are not contactable a Private Security Patrol may be dispatched to ensure the security of your premises at a Cost of $75 + GST Per Patrol Attendance

5. IMPORTANT NUMBERS TO NOTE
Please save the following phone numbers in all Emergency After-hours contacts phones.

MSE Alarms
(08) 8235 1001 – Office number to call for any billing queries, service during office hours or transfer to the Emergency Technician, available after-hours (follow the prompts).

Monitoring Centre - Contacts
1300 300 823 – If you need to contact the monitoring centre regarding testing your system or following an alarm (accidental activation etc). You will need to have your Voice code ready for the MSE VIP staff to identify you.

MSE Monitoring Centre - Caller ID
(07) 3722 8990 & (02) 8879 4090 – We recommend that you save these numbers into your mobile phone, so you easily identify that the monitoring centre is calling you. Do not call back on this number as you will only receive a recorded message.

PAYMENT OPTIONS

Customer Account Type*

NOTE: Invoiced Customers consent to additional charges for late payment in accordance with MSE T.O.T.

Credit Card

Cardholder Name

Card Details

PLEASE NOTE: On submission of this form a $1.00 charge will be applied to your credit card and subsequently applied to your account.

Initial Deposit As A Credit

Comments

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