'yes' Business Rewards request form
All fields marked with an asterisk (*) must be completed.

'yes' Business Rewards allows you to make your products work harder for you, and if you have eligible products already you can use the form below to have your 'yes' Business Rewards activated.

This form is secure and cannot be read by other people on the Internet. Optus will only use your information for the express purpose contained in this form. For more information please refer to our Privacy Collection Statement.
Internal use only
Dealer Code
Dealer Email
What are your business' details?
Account Name *
ABN or ACN *
Email Address *
This will be used to confirm that your request has been received and actioned only, unless you tick the box below indicating that you would like to receive notification of special offers for Small & Medium Business.
'yes' I would like to receive news and special offers for small and medium business from Optus via email at the above address
Note, all of your services need to have the same account name and ABN for your 'yes' Business Rewards to be activated. If you need to update any of the details on your account, you should call Customer Care on 133 343 - Monday to Friday 8.30am to 5.30pm before completing this form.
Which Optus products do you have? *
 Mobile  Mobile
Did you sign up for this product within the last 60 Days? (Tick if yes) 
Account Number
Product Plan
Reward Status
Number of Mobile Service Numbers
 
If you have more than 20 service numbers you will need to submit an additional form for the remaining services
 Business Phone  Fixed
Did you sign up for this product within the last 60 Days? (Tick if yes) 
Account Number
Product Type
Number of Lines on account
 
If you have more than 20 service numbers you will need to submit an additional form for the remaining services
 Internet  Internet
Did you sign up for this product within the last 60 Days? (Tick if yes) 
Product Type
Plan Name
User Name
 VOIP  VOIP
Did you sign up for this product within the last 60 Days? (Tick if yes) 
Account Number
Product Type
Number of Lines on account
 
If you have more than 20 service numbers you will need to submit an additional form for the remaining services
 Optus Wireless
        Broadband
 
OWB
Did you sign up for this product within the last 60 Days? (Tick if yes) 
Account Number
Rate Plan
Access Method
Number of Optus Wireless Broadband Service Numbers
 
If you have more than 20 service numbers you will need to submit an additional form for the remaining services
 Optus Wireless
        Telephony
 
OWB
Did you sign up for this product within the last 60 Days? (Tick if yes) 
Account Number
Number of Lines on account
 
If you have more than 3 service numbers you will need to submit an additional form for the remaining services
 'yes' Business Share  'yes' Business Share
Did you sign up for this product within the last 60 Days? (Tick if yes) 
Account Number
Product Type
 
 
Please read the terms and conditions below. *

I agree       I do not agree