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ONLINE ORDER FORM
Smartphones
Customer No.*
Please enter a customer number.
Enter your UBT Customer Number.
Customer Name.*
Please enter a customer name.
Enter your UBT Customer Name.
Customer Email*
Please enter an email address.
Enter the email address for the person authorized to make purchases on the above account.
End User Name*
Please enter a username.
Enter the name of the end user.
End User Date of Birth*
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Enter the date of birth of the end user.
Delivery Address*
Please enter a valid delivery address.
Enter the delivery address for the end user.
End User Email Address
Enter the email address of the end user.
Mobile Number*
Or select if new connection
Please enter a mobile number.
Enter the current mobile number of the end user.
Select Device*
03-04-04505 Samsung Galaxy XCover 5 64GB Black
NZTL10028700 Samsung Galaxy Xcover 6 Pro 128GB Black
NZTL10042100 Samsung Galaxy A24 128GB Black
NZTL10042200 Samsung Galaxy A34 5G 128GB Black
NZTL10042300 Samsung Galaxy A54 5G 128GB Black
NZTL10047700 Samsung Galaxy Z Flip5 5G 8GB+256GB Cream
NZTL10047800 Samsung Galaxy Z Flip5 5G 8GB+256GB Graphite
NZTL10047900 Samsung Galaxy Z Flip5 5G 8GB+256GB Lavender
NZTL10048000 Samsung Galaxy Z Flip5 5G 8GB+256GB Mint
NZTL10048100 Samsung Galaxy Z Flip5 5G 8GB+512GB Cream
NZTL10048200 Samsung Galaxy Z Flip5 5G 8GB+512GB Graphite
NZTL10048300 Samsung Galaxy Z Flip5 5G 8GB+512GB Lavender
NZTL10048400 Samsung Galaxy Z Flip5 5G 8GB+512GB Mint
NZTL10048500 Samsung Galaxy Z Fold5 5G 12GB+1TB Black
NZTL10048600 Samsung Galaxy Z Fold5 5G 12GB+1TB Cream
NZTL10048700 Samsung Galaxy Z Fold5 5G 12GB+1TB Icy Blue
NZTL10048800 Samsung Galaxy Z Fold5 5G 12GB+256GB Black
NZTL10048900 Samsung Galaxy Z Fold5 5G 12GB+256GB Cream
NZTL10049000 Samsung Galaxy Z Fold5 5G 12GB+256GB Icy Blue
NZTL10049100 Samsung Galaxy Z Fold5 5G 12GB+512GB Black
NZTL10049200 Samsung Galaxy Z Fold5 5G 12GB+512GB Cream
NZTL10049300 Samsung Galaxy Z Fold5 5G 12GB+512GB Icy Blue
NZTL10052500 Samsung Galaxy S23 FE 8GB+128GB - Graphite
NZTL10052501 Samsung Galaxy S23 FE 8GB+128GB - Mint
NZTL10052502 Samsung Galaxy S23 FE 8GB+128GB - Cream
NZTL10052503 Samsung Galaxy S23 FE 8GB+128GB - Purple
NZTL10054100 Samsung Galaxy A05 4GB+64GB Black
NZTL10055400 Samsung Galaxy S24 5G 8GB+256GB - Amber Yellow
NZTL10055401 Samsung Galaxy S24 5G 8GB+256GB - Cobalt Violet
NZTL10055402 Samsung Galaxy S24 5G 8GB+256GB - Marble Grey
NZTL10055403 Samsung Galaxy S24 5G 8GB+256GB - Onyx Black
NZTL10055500 Samsung Galaxy S24 5G 8GB+512GB - Amber Yellow
NZTL10055501 Samsung Galaxy S24 5G 8GB+512GB - Cobalt Violet
NZTL10055502 Samsung Galaxy S24 5G 8GB+512GB - Marble Grey
NZTL10055503 Samsung Galaxy S24 5G 8GB+512GB - Onyx Black
NZTL10055600 Samsung Galaxy S24+ 5G 12GB+256GB - Amber Yellow
NZTL10055601 Samsung Galaxy S24+ 5G 12GB+256GB - Cobalt Violet
NZTL10055602 Samsung Galaxy S24+ 5G 12GB+256GB - Marble Grey
NZTL10055603 Samsung Galaxy S24+ 5G 12GB+256GB - Onyx Black
NZTL10055700 Samsung Galaxy S24+ 5G 12GB+512GB - Amber Yellow
NZTL10055701 Samsung Galaxy S24+ 5G 12GB+512GB - Cobalt Violet
NZTL10055702 Samsung Galaxy S24+ 5G 12GB+512GB - Marble Grey
NZTL10055703 Samsung Galaxy S24+ 5G 12GB+512GB - Onyx Black
NZTL10055800 Samsung Galaxy S24 Ultra 5G 12GB+1TB - Titanium Black
NZTL10055801 Samsung Galaxy S24 Ultra 5G 12GB+1TB - Titanium Grey
NZTL10055802 Samsung Galaxy S24 Ultra 5G 12GB+1TB - Titanium Violet
NZTL10055803 Samsung Galaxy S24 Ultra 5G 12GB+1TB - Titanium Yellow
NZTL10055900 Samsung Galaxy S24 Ultra 5G 12GB+256GB - Titanium Black
NZTL10055901 Samsung Galaxy S24 Ultra 5G 12GB+256GB - Titanium Grey
NZTL10055902 Samsung Galaxy S24 Ultra 5G 12GB+256GB - Titanium Violet
NZTL10055903 Samsung Galaxy S24 Ultra 5G 12GB+256GB - Titanium Yellow
NZTL10056000 Samsung Galaxy S24 Ultra 5G 12GB+512GB - Titanium Black
NZTL10056001 Samsung Galaxy S24 Ultra 5G 12GB+512GB - Titanium Grey
NZTL10056002 Samsung Galaxy S24 Ultra 5G 12GB+512GB - Titanium Violet
NZTL10056003 Samsung Galaxy S24 Ultra 5G 12GB+512GB - Titanium Yellow
NZTL10059800 Samsung Galaxy A15 5G 4GB+128GB - Blue Black
Add a Wall Charger?
Samsung Wall Charger - $30.43 + GST
Please select a device.
Choose a mobile phone.
Click here to view current device options
Device Term*
12 months Device Term
24 months Device Term
36 months Device Term
18 months Device Term
Open Term
Please select a device term.
Select the length of your contract.
Device Management*
$0 for VOICE/TEXT ONLY
$28.50 + GST for Streamline3
Please select a device management option.
Select between Full Smartphone or Voice/Text only for your device.
Voicemail Assistant - VXT Pro*
Yes
No
Please select if you want VXT Pro.
$12.99 + GST per month
Get your voicemails transcribed to text, and sent to your email or phone app including an audio file of original message.
Insurance*
Insurance portion - $200 Excess
Insurance portion - Full Cover
No Insurance
Please select an insurance option.
Select insurance for your device.
Mobile Plan*
120GB Calls/txts - NZ & AU Unlimited
15GB Calls/txts - NZ & AU Unlimited
4GB Calls/txts - NZ & AU Unlimited
50GB Calls/txts - NZ & AU Unlimited
Calls/txts - NZ & AU Unlimited, No Data (Wifi only)
Calls/txts - NZ & AU Unlimited, No Data, No Wifi
Endless Data Calls/txts - NZ & AU Unlimited
Please select a plan option.
Select a plan for your device.
Do you want any Mobile Accessories?
Additional Samsung Adaptive Fast Charger - $30.43 + GST (USB Cable Not Included)
Complete Assisted Setup - $150 + GST - send in your old phone and we take care of everything!
Notes
Enter any notes for the Telco Team here.
Terms and Conditions
Click the link below to download, complete and sign the UBT Terms and conditions
Download UBT Terms and Conditions.
Once done, upload the signed T&C's using the button below.*
Please upload your signed UBT Terms and Conditions.
I agree to the purchase of a Android for Streamline3 License fee at $28.50 + GST/month*
Please agree to the purchase of Streamline3 License Fee.
I understand that there may be termination charges if upgrading to a new device before end of contract date.*
Please agree to the termination charges.
24
0.03
28.50
39.00
Device Image
Monthly plan amount: $0.00 + GST
Streamline3: $28.50 + GST
Concierge Administration Surcharge: $1.53 + GST
Monthly Total: $29.53 + GST
One-off shipping and handling: $15.00 + GST
Other Benefits:
Daily Roaming
OneSchool Rebate
Fantastic Support!
Connect App capable
Tether and hotspot your data
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