Express Collaborator - Conferencing Specialists Australia

Registration Form

Application for Express Collaborator Account

To establish an Express Collaborator account please complete the following application. If you wish to start conferencing immediately call 1800 266 337 following the submission to expedite the registration process. You can be conferencing in 15 minutes.Following registration you will be emailed an information pack describing how to get up and running with Express Collaborator.

Billing of Services Used

When registering you can select to either pay by credit card or by invoice. If you select the credit card payment option, your credit card will be charged for the conference costs at the end of each month. At the end of each month you will be emailed a statement which details your use of our web conferencing services. If you have any query regarding a particular charge please advise us so it may be resolved before you need to pay the credit card bill.

	Services Required
	Express Collaborator

	Express Teleconferencing
	Preferred Payment
	Credit Card
	Invoice

Title

First name*

Surname*

Position

Company

ABN Number

Street

City

Postcode

Phone*

Fax

Mobile

Email*

* required

Credit card number	(please do not include spaces)
Type of credit card
Expiration date (mm/yy)	/
Cardholders name as it appears on the credit card