register your interest in wireless broadband

Sections that are marked with an * are required fields.







Is the connection going to be at the above address? If not, please enter area or areas below.

It would be appreciated if you fill out the following section of the register, in order to help us improve our services. This is not a requirement.

1. How do you currently connect to the Internet?

Dial Up

Broadband / ADSL

No Current Connection

2. How much data do you download per month?

0 - 100mb

100mb - 1gb

1gb - 5gb

5gb plus


3. How much time do you spend on the internet per month?


Less than 1 hour

1 to 5 hours

5 to 10 hours

10 plus hours

4. How many internet users in your household?


1 to 3

3 plus

5. Who is your current internet provider (ISP)?

6. When does your current contract expire?

7. How did you hear about eBurnie?

Brochure / Flyer




Word of Mouth


8. Are you interested in any extra eBurnie services?

Web Hosting

Off-Site Backup

Domain Name Registration

To find out more about our Point to Point and Outsourcing solutions please call us on 1300 852 369.