All fields marked with an asterisk (*) must be completed.

I am an Optus customer with the following Optus product/s *
Optus Local Calls
Optus Local and Long Distance
OptusNet Dial-up Internet
Optus Wireless Connect

[1] I would like to enquire about my current Optus product * :

[2] I would like to enquire about another Optus product * :

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Account holders name *

Service address *

Postcode *

Email address *

Phone number *

Please complete [1] or [2] * :

[1]	Account number

	DOB
	or
	Driver's licence
	or
	Pensioner card

dd/mm/yyyy

[2]	OptusNet Dial-up user name
	or
	Optus Wireless Connect user name

Your enquiry *

Thanks for your enquiry. Optus will acknowledge receipt of your email immediately and then respond within two business days.