change of ownership application amaysim transfer of service Phone: 1300 808 300 “c Fax: 1300 808 999 to becompletedby existing owner amaysim Austlia Pty Led wee eo JOOOOOOU00 ANON’ ‘Account Name User Name T consent te Wansfer of my mobile sevice (Including my mobile phone number) te the below served party (the New Owner). ‘acknowledge that any creat remainng on my motile service wil not be trans‘erred to the New Owner and will beiost. 1 wil be liable {oral charges Incurred in relation te the service unt te tanefer te the Hew Ouner including the £20 change of account holder fee, Sionature Date 2. personal ‘new owner to complete ‘Account: name sassroes Posteode Daytime phone Ema Date of bith of 3.company accounts only ‘new owner to complete ‘company name, ABIVACN ‘company acaress Postoae ‘4. mobile phone details ‘new owner to complete wesve oo JO OOO00000 5.communication options Jetus know how yout refer us to communicate with you 1B Yes, 1 would lke to recelve emails about amaysim’s news ane offers 1B Yes, I would lke Co recelve SMS or phone calls about ameysimS news and offers 10 Tegres to emaysim using my personal information (as defined in the privacy policy) to provide targeted marketing to me based on 2 review ofthat information and my motile usage 6.please sign here ‘new owner to complete {have read and understood the terms an conditions ofthe amaysim Standard Form OF Agreement (SFOA) and agree to be bound by ‘them, [nll be lable to pay all charges heurred in celation to the service from its transfer Please provide a vad contact number that wo may rozch you onto compete [dently vosifeation Post-paid customers only: For us to supply this service, you'l need to satisfy a credit check. This means we'll have to send Information abcut you to a credit checking organisation. Is t OK Tor us to provide this Information? Bi consent te 9 credit chock, and wish te stort a post pald account Pleace do not concent te a credit check if you would like a pre-paid account, the above ie for post-paid customers only. Slenature Dates Frint name (new owner) Please send a scam of this form to MNPSUPPORT@amay: