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SIM Number / ICCID

Number printed at the back of the sim pack starts with 324xxxxxxxx or 896103000xxxxx

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Apple, Samsung ......

Handset Model

Iphone 13, Samsung S21, A20,.....

Name

First

Last

Date of Birth

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Address (in Australia)

Address Line 1

Address Line 2

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Postal Code

Country

Address in Australia

Date of Arrival

Airlines/Flight #

Free Month OFFER T&C

Agreed with T&C

We’re excited to offer you 1 month of EzySim service absolutely FREE when you set up Auto Renewal for future payments! Here’s how it works: Activate Auto Renewal during sign-up Enjoy your first month on us Continue using EzySim for at least 2 paid renewals after your free month! Please note: If Auto Renewal is not continued for at least 2 paid renewal cycles after your free month, or if the service is not used beyond the free month or port out with in free month, a $20 early exit fee will apply.

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