Sign up - WorldNet Dev-1

WorldNet Broadband Signup Form

Please complete the form below to request a new broadband service or transfer from another provider.

Name *

First

Last

Please enter your full legal name as it appears on official documents.

Email *

Please enter a valid email address. We’ll use it to confirm your request and send service updates.

Contact Number *

Please enter your mobile or landline number so we can contact you if needed.

Billing Address *

We may use this address for account verification or record keeping.

Service Address *

Please enter the physical address where you want the broadband service to be connected.

Broadband Service Information *

Please select whether you're applying for a new broadband connection or transferring from another provider.

Name of Current Service Provider

Please let us know the name of your current service provider

Marketing did Name

Connection Date *

If you'd like to choose a specific date, please select the option below and a date field will appear.

Additional Notes or Requests (Optional)

Use this space to let us know anything else we should be aware of regarding your broadband setup.

How did you hear about us?

Please tell us where you heard about us.

Terms and Conditions Agreement *

By ticking this box, you agree to our Terms and Conditions. (View at: https://www.worldnet.co.nz/support/support_conditions.php)

Marketing Consent

I agree to receive updates on new plans, promotions, and service information via email or text message (SMS).

You may unsubscribe at any time.