Team Anywhere EMAIL ORDER FORM by lindayy

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									                                                          Team Anywhere EMAIL
                                                                 ORDER FORM
                                                                       Please complete and return this form to:
                                     Quincerto Group (AUS) Pty Ltd, PO Box 2571, Fortitude Valley BC, QLD 4006
                           • Telephone: 1800 009 187 • Fax: 07 3009 0365 • Email: accounts@quincerto.com.au

1. Applicant Details

        ______________________________________________________________________________________
        LEGAL NAME OF COMPANY OR FULL NAME IF A PARTNERSHIP OR SOLE TRADER


        _____________________________                    ___________________________________ __________________
        COMPANY/INCORPORATION/ ABN NUMBER                DATE(S) OF BIRTH IF A PARTNERSHIP OR SOLE TRADER          DATE OF INCORPORATION


        __________________________________________________________________                                         __________________
        TRADING NAME (IF DIFFERENT FROM ABOVE)                                                                     TIME UNDER THIS NAME


        __________________________________________________________________                                         __________________
        POSTAL ADDRESS                                                                                             POST CODE


        __________________________________________________________________                                         __________________
        STREET ADDRESS                                                                                             CITY


        __________________________________________ __________________________________________
        TELEPHONE                                                            FAX


        __________________________________________ __________________________________________
        EMAIL ADDRESS                                                        WEBSITE




2. Legal Structure
               Public Limited Company                                              Private Limited Company
               Private Unlimited Company                                           Limited Partnership
               Partnership                                                         Sole Trader


3. Authorised Contact
        Nominated person authorised to request user account changes, cancellations, and additions:

        _______________________                  ____________________________ _______________________________
        NAME                                     EMAIL ADDRESS                                  TELEPHONE NUMBER




4. Partners’, Proprietors’ or Directors’ Particulars
        (if at current address less than three years please also provide previous address)

        _______________________                  ____________________________ _______________________________
        NAME                                     POSITION HELD                                  HOME ADDRESS


        _______________________                  ____________________________ _______________________________
        NAME                                     POSITION HELD                                  HOME ADDRESS




5. Promotional Code
        If applicable please provide:

        _______________________
        PROMO CODE




Team Anywhere EMAIL - Order Form                                                                                               Revised 09/08/07 Page - 1
6. Services & Fees
        Initial payment due with application
          DESCRIPTION                                              FEES (exc GST)          FEES (inc GST)          QUANTITY                     AMOUNT


          Team Anywhere EMAIL Setup                                 $299.95                 $329.95                    1                       $329.95

          Team Anywhere EMAIL 200Mb Mailbox                      $29.95/mth*               $32.95/mth*

          Team Anywhere EMAIL 500Mb Mailbox                      $37.95/mth*               $41.75/mth*

          Team Anywhere EMAIL 1Gb Mailbox                        $45.95/mth*               $50.55/mth*

          Initial Payment TOTAL (due with application)
                                                         * 1 to 2 Users = Paid 3 months in advance
                                                            3+ Users = Paid 1 Month in advance
                                             Further discounts available for 6 and 12 month advance payments,
                                                see www.teamanywhere.com.au for full pricing information.

7. Credit References
        Name three suppliers who can provide references:

        ___________________                 ____________________________ _______________                                     ___________________
        COMPANY                             ADDRESS                                              TELEPHONE                   CONTACT NAME


        ___________________                 ____________________________ _______________                                     ___________________
        COMPANY                             ADDRESS                                              TELEPHONE                   CONTACT NAME


        ___________________                 ____________________________ _______________                                     ___________________
        COMPANY                             ADDRESS                                              TELEPHONE                   CONTACT NAME




8. Accuracy of Information
        8.1 The Applicant must notify Quincerto Group (AUS) Pty Ltd (“Quincerto”) of any change in circumstances that may affect the accuracy of the
        information provided by the Applicant to Quincerto.

9. Guarantee
        9.1 In consideration of Quincerto entering into an agreement with the Applicant to supply Services in accordance with this
        application at the request of the below signatories (as they severally admit) each of the signatories jointly and severally guarantee to
        Quincerto the due, punctual and complete observance and performance of each and every one of the applicant’s agreements and
        obligations hereunder including payment of all monies due.



10. Privacy Disclosure Authority
        10.1 The Applicant agrees that Quincerto may obtain, retain, store and use information about the Applicant from the Applicant or any other person
        (including any credit or debt collection agencies) in the course of Quincerto’s business, including credit assessment, debt collecting (and direct
        marketing activities), and the Applicant consents to any person providing Quincerto with such information.
        10.2 The Applicant agrees that Quincerto may retain, store and use this information it has about the Applicant relating to the Applicant’s credit
        worthiness and give that information to any other person, including any credit or debt collection agency for credit assessment and debt collection
        purposes.

        The applicant certifies that the information given above is true and correct; accepts your terms and conditions attached to this application form, which
        the below signatories confirm they have read and understood, and grants permission to Quincerto to refer this application to our trade references.


        __________________________________________ __________________________________________
        DATE                                                                        DATE


        __________________________________________ __________________________________________
        SIGNED (Director/Partner)                                                   SIGNED (Director/Partner)


        __________________________________________ __________________________________________
        NAME                                                                        NAME


        __________________________________________ __________________________________________
        POSITION                                                                    POSITION


        __________________________________________ __________________________________________
        WITNESSED                                                                   WITNESSED




Team Anywhere EMAIL - Order Form                                                                                                          Revised 09/08/07 Page - 2
Terms & Conditions
         1 Interpretation                                                           5.2 The Customer must not use a user name or alias which infringes
         "Authorised Contact" means the single user who has authority to            the rights of any person in a corresponding trade mark or name.
         make requests, order, amend or cancel services.                            Quincerto reserves the right to require the Customer to select a
         “Quincerto” means Quincerto Group (AUS) Pty Ltd                            replacement user name or alias and may either refuse to provide or
         "Customer" means the applicant named on the Order Form and                 may suspend Service if, in Quincerto opinion, there are reasonable
         anyone reasonably appearing to Quincerto to be acting with that            grounds for Quincerto to believe that the user name or alias is, or is
         person's authority or permission.                                          likely to be, used for a dishonest purpose, offensive, abusive,
         "Service" means the services that Quincerto have agreed to provide         defamatory, obscene, or in violation of any person's intellectual
         to the customer.                                                           property or similar rights.
         “Us” or “we” means Quincerto Group (AUS) Pty Ltd.                          5.3 If the Customer, an Authorised Contact or anyone else, with or
                                                                                    without the Customer's knowledge or approval, uses the Service in
         2 Duration                                                                 contravention of paragraphs 5.1, 5.2, then Quincerto may treat the
         2.1 This Contract begins on the date that the Customer completes           contravention as a material breach of this Contract which cannot be
         the registration process and will continue until terminated in             remedied for the purposes of paragraph 13.
         accordance with this Contract.                                             5.4 Bulk email distribution:
                                                                                    If Quincerto finds that a customer is using excessive bandwidth for
         3 Provision of the Service                                                 Bulk Email Distribution, Quincerto reserves the right to:
         3.1 Quincerto will provide the Customer with the Service on the            (a) Immediately suspend the customer's account(s) pending
         terms of this Contract.                                                    Quincerto’s express written approval of mailing
         3.2 Quincerto will use reasonable endeavours to provide the                (b) Impose additional charges for high-bandwidth use.
         Service by any date agreed with the Customer but all dates are             (c) Terminate the customer's contract for repeat offenders.
         estimates and Quincerto has no liability for any failure to meet any
         date.                                                                      6 Space Allocation
         3.4 It is technically impracticable to provide a fault free Service and    6.1 The Authorised Contact may request the increase or decrease of
         Quincerto does not undertake to do so. Quincerto will however use          the Customers individual mailbox sizes.
         its best efforts to procure the repair of any reported faults as soon as   6.2 Customers who wish to upgrade their individual mailbox
         it reasonably can.                                                         storage space mid-billing period will be invoiced pro-rata at the
         3.5 As and when required Quincerto may: (a) change the technical           next monthly billing day. Thus, if a Customer is paying half yearly
         specification of the Service; (b) suspend the Service for operational      and after 1 month they wish to upgrade their included aggregate
         reasons such as repair, maintenance or improvement of the Service          storage space, they will receive an invoice in month 2 for additional
         or because of an emergency.                                                space up to month 6.
         3.6 The Customer is responsible for providing suitable computer
         hardware, software and telecommunications equipment and                    7 Payment terms
         services necessary to access and use the Service. This Contract does       7.1 The customer agrees to pay Quincerto the current prices as
         not include the provision of telecommunications services necessary         published on the price list on www.teamanywhere.com.au for
         to connect to the Service or to obtain access to the Internet.             services provided. Quincerto may change its prices from time to
         3.7 The Customer is responsible for the acts and omissions of all          time and will notify all existing customers by email to the authorised
         Authorised Users in connection with the Service and is liable for any      contact of such changes.
         failure by any Authorised User to perform or observe the terms and         7.2 Quincerto will issue invoices on or about the first of each month
         conditions of this Contract.                                               for Service to be provided in the following month (month of supply)
                                                                                    and payment must be made by the twentieth of the month in which
                                                                                    the invoice is issued.
         4 Security                                                                 7.3 Quincerto will suspend Service on the first day of the month of
         4.1 The Customer is responsible for the security and proper use of         supply if Payment has not by then been made.
         all user names and passwords used in connection with the Service
         and must take all necessary steps to ensure that they are kept             8 Payment methods
         confidential, secure, used properly and not disclosed to                   8.2.1.3 If the Customer agrees to pay half yearly or yearly in
         unauthorised people.                                                       advance for basic monthly mailbox charges, the Customer will
         4.2 The Customer must immediately inform Quincerto if there is             receive a 3% or 5% discount respectively on the basic monthly
         any reason to believe that a user name or password has or is likely        mailbox charges.
         to become known to someone not authorised to use it or is being or         8.2.2 Cheque payments by invoice
         is likely to be used in an unauthorised way.                               8.2.2.2 The Customer agrees to pay Quincerto by cheque within 14
         4.3 Quincerto reserves the right to suspend user name and                  days of receipt of invoices for additional charges accrued during the
         password access to the Service if at any time Quincerto considers          previous month.
         that there is or is likely to be a breach of security.                     8.3 The Customer accepts that no action can be taken with respect
         4.4 Quincerto reserves the right (at its sole discretion) to require the   to activating accounts or additional services until payment has been
         Customer to immediately change any or all of the passwords used            received by Quincerto.
         by the Customer in connection with the Service                             8.4 Quincerto operates a no-cash refund policy for payments made
         4.5 The Customer must immediately inform Quincerto of any                  in advance. If the customer reduces the amount of space or
         changes to the information the Customer supplied when registering          mailboxes required after payment has been made, the customer
         for the Service.                                                           will be refunded by extending the service for additional time.
                                                                                    8.5 Addition and removal of mailboxes -
                                                                                    8.5.1 New mailboxes are subject to a minimum charge of 30 days.
         5 Use of the Service                                                       8.5.2 If a customer wishes to reduce the number of mailboxes
         5.1 The Service must not be used by the Customer or any                    below the number stated in the Customer’s original order,
         Authorised User –                                                          Quincerto must be notified 30 days in advance by writing or by fax
         •    fraudulently, in connection with a criminal offence, or               from the Authorised Contact.
              otherwise unlawfully; to send, receive, upload, download, use
              or re-use any information or material which is offensive,             9 Internet
              abusive, indecent, defamatory, obscene or menacing, or in             The Service does not provide or include access to the Internet. The
              breach of confidence, copyright, trademark, service mark,             Customer's use of the Internet is solely at the Customer's risk and
              patent, privacy or any other rights;                                  subject to all applicable laws, and Quincerto has no responsibility
         •    to cause annoyance, inconvenience or needless anxiety;                for any information, software, services or other materials accessed
         •    to transmit knowingly or recklessly any electronic material           or obtained by the Customer using the Internet.
              (including viruses) through the Service which shall cause or is
              likely to cause detriment or harm, in any degree, to computer         10 Indemnification
              systems owned by Quincerto or other Internet users;                   10.1 The Customer hereby agrees to indemnify and to hold
         •    to send or provide unsolicited advertising or promotional             Quincerto harmless from and against any claim brought by a third
              material or to receive responses to any unsolicited advertising       party resulting from the use of the Service by the Customer and in
              or promotional material sent or provided using the Service by         respect of all losses, costs, actions, proceedings, claims, damages,
              any third party; or other than in accordance with the                 expenses (including legal costs and expenses), or liabilities,
              acceptable use policies of any connected networks.

Team Anywhere EMAIL - Order Form                                                                                                     Revised 09/08/07 Page - 3
        whatsoever suffered or incurred by Quincerto in consequence of            Quincerto will not be liable for any such action taken by the
        the Customer's breach or non-observance of the Contract.                  Customer.
        10.2 The Customer shall pay all costs, damages, awards, fees              14.4.2 the registration of the domain name and its ongoing use by
        (including any legal fees) and judgements awarded against                 the Customer is subject to the relevant naming authority's terms and
        Quincerto arising from the above claims and shall provide                 conditions of use and the Customer undertakes to Quincerto that it
        Quincerto with notice of such claims, full authority to defend,           will comply with such terms and conditions. The Customer hereby
        compromise or settle such claims and reasonable assistance                irrevocably waives any claims it may have against Quincerto in
        necessary to defend such claims, at the Customer's sole expense.          respect of any decision of a naming authority to refuse to register a
                                                                                  domain name and, without limitation, the Customer acknowledges
        11 Confidentiality                                                        and agrees that refunds for domain registration fees will be given at
        11.1 Quincerto will keep in confidence any information provided           the discretion of the Quincerto Management.
        to it by the Customer when registering for the Service or otherwise       14.4.3 Quincerto accepts no responsibility in respect of the use of a
        under this Contract and will not disclose that information to any         domain name by the Customer and any dispute between the
        person (other than its employees, contractors, or professional            Customer and any other individual or organisation regarding a
        advisers, or the employees or contractors of a Quincerto Company          domain name must be resolved between the parties concerned and
        who need to know the information) without the Customer's                  Quincerto will take no part in any such dispute. Quincerto reserves
        consent.                                                                  the right, on becoming aware of such a dispute concerning a
        11.2 This paragraph 11 will not apply to:                                 domain name, at its sole discretion and without giving any reason,
        11.2.1 any information which has come into the public domain              to either suspend or cancel the relevant service associated with the
        other than through a breach of this Contract;                             domain name, and/or to make such representations to the relevant
        11.2.2 information lawfully in the possession of the recipient before     naming authority as it deems appropriate.
        the disclosure under this Contract took place;
        11.2.3 information obtained from a third party who is free to             15 Termination of this Contract
        disclose it;                                                              15.1 The Customer shall not be entitled to cancel this Contract
        11.2.4 information which a party is requested to disclose and if it       during the period of three calendar months from commencement
        did not could be required by law to do so; or                             unless Quincerto is in default of its obligations hereunder and has
        11.2.5 information which has been reduced by Quincerto to                 failed to remedy such default within seven days of notice of the
        anonymous, non-personal form before disclosure.                           same from the Customer.
                                                                                  15.2 Subject to 15.1, either party may terminate this Contract on
        12 Limitation of Liability                                                30 days' notice to the other, without prejudice to any rights that
        12.1 Quincerto is not liable to the Customer, either in contract, tort    may have accrued before termination. Upon termination (for
        (including negligence) or otherwise for direct or indirect loss of        whatever reason), Quincerto may re-allocate any user names and
        profits, business or anticipated savings, nor for any indirect or         aliases associated with the terminated Service.
        consequential loss or damage or for any destruction of data.
        12.2 Quincerto’s liability to the Customer in contract, tort (including   16 Changes to this Contract
        negligence) or otherwise in relation to this Contract is limited to       Quincerto can change the Conditions of this Contract at any time
        amount paid by the Customer for Service in the twelve month               on 30 days' notice to the Customer in accordance with clause 19.
        period preceding the claim.
        12.3 Quincerto excludes all liability of any kind in respect of any       17 Assignment
        material on the Internet which can be accessed using the Service          17.1 The Customer may not assign or transfer any of its rights or
        and is not responsible in any way for any goods (including software)      obligations under this Contract, without the written consent of the
        or services provided by third parties advertised, sold or otherwise       Quincerto.
        made available by means of the Service or on the Internet.                17.2 Quincerto may assign or transfer all or any of its rights under
        12.4 Quincerto is not liable to the Customer either in contract, tort     this Contract on giving thirty days notice to the Customer.
        (including negligence) or otherwise for the acts or omissions of other
        providers of telecommunications, Internet services, hardware or           18 Entire Agreement
        other software (including domain name registration authorities) or        This Contract contains the whole agreement between the parties
        for faults in or failures of their products or equipment.                 and supersedes all previous written or oral agreements relating to its
        12.5 Each provision of this Contract, excluding or limiting liability,    subject matter.
        operates separately. If any part is held by a court to be
        unreasonable or inapplicable, the other parts shall continue to           19 Notices & Invoices
        apply.                                                                    19.1 Notices given under this Contract may be delivered on-line or
                                                                                  by e-mail. Additionally, Quincerto may publish notices to the
        13 Matters Beyond Reasonable Control                                      Customer via the Quincerto website; notices will be deemed
        If Quincerto is unable to perform any obligation under this Contract      effective on the date of publication, or otherwise as notified to the
        because of an Act of God or any matter beyond its reasonable              Customer by Quincerto.
        control such as lightning, flood, exceptionally severe weather, fire,     19.2 A notice or invoice from Quincerto which is sent by e-mail to
        explosion, war, civil disorder, industrial disputes (whether or not       the Customer's e-mail address will be deemed effective 3 days after
        involving its employees), or acts of local or central Government or       the date it is sent.
        other competent authorities, or events beyond the reasonable              19.3 A notice from the Customer to Quincerto will be deemed
        control of its suppliers, it will have no liability for that failure to   effective when received by Quincerto at the e-mail address notified
        perform.                                                                  by Quincerto to the Customer.

        14 Domain Names
        14.1 The Customer confirms and warrants that it is the owner of, or
        that the Customer has been and is duly authorised by the owner to
        use, any trade mark or name requested allocated or included as or
        in its name.
        14.2 The Customer acknowledges that Quincerto cannot guarantee
        that any name the Customer requests will be available or approved
        for use.
        14.3 Quincerto has the right to require the Customer to select a
        replacement name and may suspend the Service if, in the opinion
        of Quincerto, there are reasonable grounds for Quincerto to believe
        Customer current choice of name is, or is likely to be, in breach of
        the provisions of this Agreement and law.
        14.4 If the Service includes the registration of an Internet domain
        name the Customer acknowledges and agrees that:
        14.4.1 Quincerto does not represent, warrant or guarantee that any
        domain name applied for by the Customer or on its behalf will be
        registered in its requested name or is capable of being registered by
        it or that the use of such domain name by it will not infringe any
        third party rights. Accordingly, the Customer should take no action
        in respect of its requested domain name(s) until it has been notified
        that its requested domain name has been duly registered and

Team Anywhere EMAIL - Order Form                                                                                                    Revised 09/08/07 Page - 4
Team Anywhere EMAIL – User Details
          To avoid delays in processing please print clearly. Attach additional copies of this page as necessary.


     eg
          JOHN
          ________________________________________               BROWN
                                                                 ________________________________________
          FIRST NAME                                             SURNAME



          JOHN@MYCOMPANY.COM
          ________________________________________               SALES@MYCOMPANY.COM
                                                                 ________________________________________
          PRIMARY EMAIL ADDRESS                                  EMAIL ALIAS


            200Mb             500Mb   1Gb
          USER MAILBOX SIZE


     1
          ________________________________________               ________________________________________
          FIRST NAME                                             SURNAME



          ________________________________________               ________________________________________
          PRIMARY EMAIL ADDRESS                                  EMAIL ALIAS


            200Mb             500Mb   1Gb
          USER MAILBOX SIZE


     2
          ________________________________________               ________________________________________
          FIRST NAME                                             SURNAME



          ________________________________________               ________________________________________
          PRIMARY EMAIL ADDRESS                                  EMAIL ALIAS


            200Mb             500Mb   1Gb
          USER MAILBOX SIZE


     3
          ________________________________________               ________________________________________
          FIRST NAME                                             SURNAME



          ________________________________________               ________________________________________
          PRIMARY EMAIL ADDRESS                                  EMAIL ALIAS


            200Mb             500Mb   1Gb
          USER MAILBOX SIZE


     4
          ________________________________________               ________________________________________
          FIRST NAME                                             SURNAME



          ________________________________________               ________________________________________
          PRIMARY EMAIL ADDRESS                                  EMAIL ALIAS


            200Mb             500Mb   1Gb
          USER MAILBOX SIZE


     5
          ________________________________________               ________________________________________
          FIRST NAME                                             SURNAME



          ________________________________________               ________________________________________
          PRIMARY EMAIL ADDRESS                                  EMAIL ALIAS


            200Mb             500Mb   1Gb
          USER MAILBOX SIZE




Team Anywhere EMAIL – User Details                                                                            Revised 09/08/07
     6
          ________________________________________        ________________________________________
          FIRST NAME                                      SURNAME



          ________________________________________        ________________________________________
          PRIMARY EMAIL ADDRESS                           EMAIL ALIAS


            200Mb             500Mb   1Gb
          USER MAILBOX SIZE


     7
          ________________________________________        ________________________________________
          FIRST NAME                                      SURNAME



          ________________________________________        ________________________________________
          PRIMARY EMAIL ADDRESS                           EMAIL ALIAS


            200Mb             500Mb   1Gb
          USER MAILBOX SIZE


     8
          ________________________________________        ________________________________________
          FIRST NAME                                      SURNAME



          ________________________________________        ________________________________________
          PRIMARY EMAIL ADDRESS                           EMAIL ALIAS


            200Mb             500Mb   1Gb
          USER MAILBOX SIZE


     9
          ________________________________________        ________________________________________
          FIRST NAME                                      SURNAME



          ________________________________________        ________________________________________
          PRIMARY EMAIL ADDRESS                           EMAIL ALIAS


            200Mb             500Mb   1Gb
          USER MAILBOX SIZE


     10
          ________________________________________        ________________________________________
          FIRST NAME                                      SURNAME



          ________________________________________        ________________________________________
          PRIMARY EMAIL ADDRESS                           EMAIL ALIAS


            200Mb             500Mb   1Gb
          USER MAILBOX SIZE




                                        Please complete and return this form to:
                      Quincerto Group (AUS) Pty Ltd, PO Box 2571, Fortitude Valley BC, QLD 4006
                 • Telephone: 1800 009 187 • Fax: 07 3009 0365 • Email: accounts@quincerto.com.au




Team Anywhere EMAIL – User Details                                                                  Revised 09/08/07

								
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