Telstra Wholesale - SMS Direct - Connect Application Form

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Telstra Wholesale - SMS Direct - Connect Application Form Powered By Docstoc
					                SMS Direct Connect Customer Application Form
 Activation Reference          DC<IsTrak 10 digit number>

 1.     CUSTOMER INFORMATION
                        Customer Name
                           (Legal Entity)
                         Trading Name
                           (if applicable)
                       Type of Business
                                   A.B.N.
                         Billing Address
                                     City                                  Postcode
      Existing Telstra Account Number
               (for account consolidation)
       Customer Identification Number
                                (CIDN)
       Customer Administrative/Billing
                               Contact
                                   Phone (        )-                           Fax (   )-
                      Technical Contact                                      Phone (   )-
      Technical Contact Email Address             @


 2.     TELSTRA CONTACT DETAILS
             Telstra Business Manager
                                   Phone (        )-                           Fax (   )-
                          Email Address           @

  Telstra Communications Consultant
                                   Phone (        )-                           Fax (   )-
                          Email Address           @

 Telstra Wholesale Customer Service
                        Consultant
                                   Phone (        )-                           Fax (   )-
                          Email Address
                                             ! WCS QLD Data Provisioning




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 3.     CUSTOMER CONNECTION REQUIREMENTS
          Customer CDMA Number
          (Assigned by Telstra)
          SMPP Toolkit Type (Win95/WinNT/HP/Linux/Sun)
          (Customer must sign a letter accepting the usage conditions of
          the toolkit)
          Customer has signed a letter accepting the usage
          conditions of the Logica SMPP Development toolkit
          Delivery of Messages from Customer to Mobile
          Ability to Receive Messages from Mobile to Customer
          Ability to Request and Receive Confirmation Messages


      3.1. Private IP
          PSTN
          ISDN
                            ISDN FNN



      3.2. Frame Relay
          Primary Frame Relay FNN
          Secondary Frame Relay FNN
          SMS Network Primary DLCI
          SMS Network Secondary DLCI
          Customer Primary DLCI
          Customer Secondary DLCI
          CIR
          IP Address of Customer router interface
          Static, Internet-registered IP Address                           .   .   .
          (Assigned by Telstra)
          Static Netmask for Customer LAN                                  .   .   .
          IP Address of SMS Network router interface
          Static, Internet-registered IP Address                           .   .   .
          (Assigned by Telstra)
          Client Host PC IP Address
                                                                           .   .   .
          Static, Internet-registered IP Address




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    3.3. Internet VPN
        Access VPN
                       IP Address
                       Internet routable IP Address                         .   .   .
                       (Assigned by Customer's Internet Service Provider)
        ExtraNet VPN
                       IP Address of Customer router interface
                       Static, Internet routable IP Address                 .   .   .
                       (Assigned by Customer's Internet Service Provider)
        Client Host PC IP addresses
                                                                            .   .   .
        Static, Internet routable IP Address
        Static Netmask for Customer LAN                                     .   .   .




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