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Chilli iBurst Antenna Order Form

Please enter your details, fields marked * are compulsory:

Chilli Account Details

Account#:

* iBurst UserID:

the username you use to login e.g. iburst8888@iburst.chilli.net.au

Personal Details

Title:

* First Name:

* Surname:

* Phone:

* Email:

iBurst Antenna

* Select an Antenna

	ex GST	Antenna Description
	$129.00	Laptop Omni-directional (portable antenna for laptops)
	$179.00	Mounted Omni-directional
	$249.00	Mounted Directional (please check nearest tower location)

Note: $15 ex GST postage and handling applies

* iBurst Modem Type:

* Modem Colour:

Delivery Address

* Name:

* Address 1:

Address 2:

* Suburb:

* State:

* Post Code:

By clicking order now you agree to authorise Chilli to invoice you for your selected iBurst antenna and postage and handling. Your order will be processed once payment has been successful.

Note: iBurst antenna are only available to Chilli iBurst customers.