Order form - Mobile Seniors Select Your Plan Please select your plan and give us your details. Seniors Mobile Plan * Add a discounted Sim-Only Mobile Plan. The below Mobile Plans have Seniors discounts applied. 10GB$21.60 for the first 12 months then $24 ongoing10GB data with unlimited calls & text to Australian numbers. 15GB$24.30 for the first 12 months then $27 ongoing15GB data with unlimited calls & text to Australian numbers. 29GB$28.80 for the first 12 months then $32 ongoing25GB data with unlimited calls & text to Australian numbers. 40GB$32.40 for the first 12 months then $36.00 ongoing40GB data with unlimited calls & text to Australian numbers. Your Details Name * Mr.Mrs.Miss.Ms.Dr. Salutation First Name * First Name Last Name * Last Name Date of Birth * You must be over 18 years old to purchase from Pennytel Seniors Card Number * State * NSWVICQLDSAACTWANTTAS Email * Contact Number * Street Address * Suburb * Postcode * State * NSWVICQLDSAACTWANTTAS Different shipping address * Yes No Shipping Street Address * Suburb * Postcode * State * NSWVICQLDSAACTWANTTAS Are you an existing Pennytel customer? * Yes No What is your current Pennytel Account Number * Were you referred by a Pennytel customer? * Yes No Please enter the mobile number of the person that referred you * Mobile Number Do you want a new mobile number? * Yes No, I want to move my current mobile number to Pennytel Mobile Number * What is your account number with your current provider? * What type of SIM card would you like? * Physical SIM eSIM To check if your device can accept an eSIM, please go to https://www.gsmarena.com/ and search using your device make and model number Checkboxes * I have read the Terms & Conditions and authorise Pennytel Australia Pty Ltd to transfer my mobile number. Terms & Conditions By ticking this box, I confirm that: I am the current account holder and / or an authorised representative for this service. I consent to Pennytel conducting an Identification Check as part of my service application. I have read, understood, and agree to the Pennytel Critical Information Summary (CIS) and general terms and conditions r e c a p t c h a Total $ * By ticking this box I acknowledge I am the current account holder and authorised representative of this service. I have read, understood and agree to Pennytel’s Critical Information Summary (CIS) for the Pennytel Service.. Mobile Critical Information Summary Submit If you are human, leave this field blank.
