QUANTUM Konnekt Videophone Order Form

Please use the form below to purchase a Konnekt Videophone from QUANTUM and monthly service from Konnekt. Be sure to select the Delivery Country.

Konnekt Videophone

Incredibly easy – no menus, modes, logins or scrolling
Large screen, up to 6-inch buttons, super loud
Auto-answer for trusted callers you nominate
We set it up for you – nothing for you to do
Unique touchscreen – needs no skin contact (use any object)

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Hidden Field Section
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clientID
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Lead source description
Form ID: 96, Form name: QUANTUM Order Online Reg, Post/page ID: 8593, Post/page title: QUANTUM Order, Date (dmy): 29/05/2022, User IP address: 100.24.115.215, Embed URL: https://www.konnekt.com.au/quantum/, HTTP Referrer URL:
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Lead Source
- Organic Search
- Konnekt Website (unknown source)
- Other Website
- Word of mouth
- Existing Customer who purchased more
- Trade Show
- Trade Conference
- TV
- Magazine
- Google Search Ads
- Google Display Ads
- Microsoft Ads
- Facebook Ads
- Facebook (not an ad)
- LinkedIn
- Twitter
- YouTube
- Instagram
- Employee
- Public Relations
- Direct Mail (post)
- Cold Call (we decided to call this person or company)
- Partner (unknown source)
- Email Campaign (unknown source)
- Other
- _AUTO_WebsiteBuyNow
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Geo-automatic
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Geo-IP Location
City State / Province / Region Country
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Geo-IP Continent
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Language
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Buyer Details Section
The Videophone Buyer
Name*
First Last
Address for Billing
Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone
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Questions
The Videophone User
Name of Videophone User
First Last
Deliver to
Name for Delivery*
Contact Phone for Delivery*
Address for Delivery
Street Address Address Line 2 Suburb / City / Town State / Province / Region ZIP / Postal Code Country
Special Instructions for Delivery
Special Request
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Videophone Order
- PURCHASE
- TRIAL
Purchase from QUANTUM
Rent-Buy
Trial
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Order type chosen section
Prices are shown and charged in Australian Dollars (AUD). Approximate prices are also shown below in USD, GBP and Euro. For today's currency rates or other countries: Visit x-rates.com
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Purchase section
Only display for Purchase
Purchase Videophone bundle
Price:
- Konnekt 15-inch white Videophone, power adaptor and cable
- Desktop adhesive clamp
- Remote personalization of contacts, sound, language and other options
- We can configure Videophone to connect to your Wi-Fi
- Konnekt 12-month warranty (return to base)
Purchase Videophone bundle
Price:
AUD $1190.0
- Konnekt 15-inch white Videophone, international power adaptor and cable
- Desktop adhesive clamp
- Remote personalization of contacts, sound, language and other options
- We can configure Videophone to connect to your Wi-Fi
- Konnekt 12-month warranty (return to base)
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Trial section
Only display for Trial
Videophone 30-Day Trial
Price:
- Up to 30 days’ use of Videophone
- (Optional) Konnekt-Managed Internet: 3G/4G mobile hotspot with 5GB data,
- Or we can configure Videophone to connect to your Wi-Fi
- Unlimited face-to-face or audio calls with anyone worldwide on Skype (includes mobiles, tablets & computers)
- Up to 4 named Call Buttons to call family & friends on Skype. More can be added later.
- Remote personalization of contacts, sound, language and other options
- Support for setup, additions, changes, and help for friends & family
- On-going Videophone software updates
Videophone 30-Day Trial
Price:
AUD $89.90
- Up to 30 days’ use of Videophone
- Unlimited face-to-face or audio calls with anyone worldwide on Skype (includes mobiles, tablets & computers)
- We can configure Videophone to connect to your Wi-Fi
- Up to 4 named Call Buttons to call family & friends on Skype. More can be added later.
- Remote personalization of contacts, sound, language and other options
- Support for setup, additions, changes, and help for friends & family
- On-going Videophone software updates
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Rent-buy section
Only display for Rent-buy
Refundable security deposit
Price:
- Refunded in full if you return all hardware in original condition with all original packaging (we can recommend a low-cost courier)
- If repairs are required, costs will be deducted
- Can go towards Purchase (see Rent-Buy below)
Refundable security deposit
Price:
AUD $330
- Refunded in full if you return all hardware in original condition with all original packaging (we can recommend a low-cost courier)
- If repairs are required, costs will be deducted
- Can go towards Purchase (see Rent-Buy below)
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Trial section
Only display for Trial
Refundable security deposit
Price:
- Refunded in full if you return all hardware in original condition with all original packaging (we can recommend a low-cost courier)
- If repairs are required, costs will be deducted
- Can go towards Purchase
- If you don’t notify us, or don’t return Videophone within 30 days of trial end, your trial will continue and we will charge you $89.90 per month and, if applicable, $45 per month for Konnekt-managed Internet service.
Refundable security deposit
Price:
AUD $330
- Refunded in full if you return all hardware in original condition with all original packaging (we can recommend a low-cost courier)
- If repairs are required, costs will be deducted
- Can go towards Purchase
- If you don’t notify us, or don’t return Videophone within 30 days of trial end, your trial will continue and we will charge you $89.90 per month.
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Universal section
Currently hidden because Quantum don't provide tables (or not through us) or brackets and they'll organize their own installation services.
Mounting Option
- None (no table or bracket)
- Side table (white)
- Side table (black)
- Side table (timber colour)
- Wall-mount bracket, slim-line
- Wall-mount bracket, pan-tilt
- Table/bracket available only for delivery within Australia.
Options
Heading field, hidden, for Installation options
Installation options
- Professional installation (Australia) AUD:
- Optional (Videophone comes completely set up and personalized). Installation is available in most Australian metro/city centres.
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Australia delivery section
Display for any plan if Australia is the destination
Delivery within Australia
Price:
- Door-to-door courier delivery, tracked, insured, signature required
Delivery within Australia for 30-day trial
Price:
- Door-to-door courier delivery, tracked, insured, signature required
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Low-cost countries delivery section
Display for any plan if Australia is NOT the destination
Delivery to USA, Canada, UK, Ireland, NZ, Japan for purchase
Price:
AUD $55
- Door-to-door courier delivery, tracked, insured, signature required
Delivery to USA, Canada, UK, Ireland, NZ, Japan
Price:
AUD $55
- Door-to-door courier delivery, tracked, insured, signature required
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Rest-of-world delivery section
Display for any plan for other destination countries
Delivery to Rest-of-world for purchase (be sure to select Delivery Country above)
Price:
AUD $150
- Door-to-door courier delivery, tracked, insured, signature required
Delivery to Rest-of-world (be sure to select Delivery Country above)
Price:
AUD $150
- Door-to-door courier delivery, tracked, insured, signature required
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Purchase or Rent-buy section
Display for Purchase or Rent-buy
Total One-time Payment
Price: $ 0.00
Currency: Totals are shown in Australian Dollars (AUD). Visit x-rates.com to convert to your local currency.
Monthly recurring payments to Konnekt
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Rent-buy section
Only display for Rent-buy
Videophone rent-buy (per mth)
Price:
- Konnekt 15-inch white Videophone, power adaptor and cable
- Desktop adhesive clamp
- Remote personalization of contacts, sound, language and other options
- We can configure Videophone to connect to your Wi-Fi
- Konnekt 12-month warranty (return to base)
- 12-month minimum term, or switch to purchase at any time
- 80% of these payments will be credited towards Purchase
- After 20 payments, you own the Videophone…
  - your Security Deposit is used as final payment
  - thereafter, you only pay the Monthly Fee below
Videophone rent-buy (per mth)
Price:
AUD $55.00 per month
- Konnekt 15-inch white Videophone, international power adaptor and cable
- Desktop adhesive clamp
- Remote personalization of contacts, sound, language and other options
- We can configure Videophone to connect to your Wi-Fi
- Konnekt 12-month warranty (return to base)
- 12-month minimum term, or switch to purchase at any time
- 80% of these payments will be credited towards Purchase
- After 20 payments, you own the Videophone…
  - your Security Deposit is used as final payment
  - thereafter, you only pay the Monthly Fee below
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Purchase or Rent-buy section
Display for Purchase or Rent-buy
Videophone monthly plan (per mth)
Price:
- Unlimited face-to-face calls with anyone worldwide on Skype (includes mobiles, tablets & computers)
- Unlimited calls to landline phones in Australia (or other country as agreed with Konnekt)
- Access to Konnekt IT Support for assistance via email, online chat, phone or Skype
- On-going Videophone software updates
- Remote additions and changes to contacts, sound and other options
Videophone monthly plan (per mth)
Price:
AUD $34.90 per month
- Unlimited face-to-face calls with anyone worldwide on Skype (includes mobiles, tablets & computers)
- Unlimited calls to landline phones in one country as agreed with Konnekt
- Access to Konnekt IT Support for assistance via email, online chat, phone or Skype
- On-going Videophone software updates
- Remote additions and changes to contacts, sound and other options
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Universal section
Display always, for any plan and any destination
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Phone number
- Australia 02 (NSW)
- Australia 02 6 (ACT)
- Australia 03 (VIC, TAS)
- Australia 07 (QLD)
- Australia 08 (WA, SA, NT)
- A phone number for Videophone that your contacts can dial, on which to receive regular incoming phone calls. Please specify the area code.
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Phone Number Country / Location
- A phone number for Videophone that your contacts can dial, on which to receive regular incoming phone calls. Please specify the country and location, or the country code and preferred area code.
Extras (per mth)
Hidden Extras field under which to list the Call Options.
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Extras - Call Options
- Unlimited calls to landlines in Australia (already included)
- MOBILES: Unlimited calls to mobile numbers in Australia
- WORLD: Unlimited calls to landlines in 62 countries (ask Konnekt for a list) and mobiles in 8 countries (Canada, China, Guam, Hong Kong, Puerto Rico, Singapore, Thailand, USA)
- Note that mobiles can be called for free if they have the Skype app.
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Extras - Call Options
- Unlimited calls to landlines in one country as agreed with Konnekt (already included)
- "WORLD" - Unlimited calls to landlines in 62 countries (ask Konnekt for a list) and mobiles in 8 countries (Canada, China, Guam, Hong Kong, Puerto Rico, Singapore, Thailand, USA) AUD:
- Note that mobiles can be called for free if they have the Skype app.
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Purchase or Rent-buy section
Only display for Purchase or Rent-buy
Internet (Australia only)
- BYO Internet
- Konnekt-Managed 4G Mobile Internet (includes Wi-Fi modem/router) - AUD $45/mth
Total per Month
Price: $ 0.00
Currency: Totals are shown in Australian Dollars (AUD). Visit x-rates.com to convert to your local currency. Rates change daily. Allow 3-5% for your card provider's currency conversion fee.
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Trial section
Only display for Trial
Internet (Australia only)
- BYO Internet
- Konnekt-Managed 4G Mobile Internet (includes Wi-Fi modem/router) - included during trial - $0
Total
$ 0.00
Currency: Totals are shown in Australian Dollars (AUD). Visit x-rates.com to convert to your local currency. Rates change daily. Allow 3-5% for your card provider's currency conversion fee.
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Universal section
Display always, for any plan and any destination
Currency Converter by OANDA
NDIS-plan participants: Please request ex-GST invoicing.
Duties and taxes: There is no duty on Videophones imported to the United States from Australia, thanks to the Australia-USA Free Trade Agreement (FTA). It is the responsibility of the customer to pay local VAT / state sales tax (if any) in the country of delivery.
Duties and taxes: There is no duty on Videophones imported to the UK from Australia. It is the responsibility of the customer to pay local VAT / state sales tax (if any) in the country of delivery. ZERO VAT: UK residents with a disability (including dementia, hearing loss, low vision or limited mobility/dexterity) can claim UK Customs Disability VAT Relief - Please ask Konnekt for a partially completed form.
Duties and taxes: There is no duty on Videophones imported to Ireland from Australia. It is the responsibility of the customer to pay local VAT / state sales tax (if any) in the country of delivery. VAT REFUND: Ireland residents with a disability (including dementia, hearing loss, low vision or limited mobility/dexterity) can claim Ireland Customs VAT Refund - Please ask Konnekt for the form.
Duties and taxes: It is the responsibility of the customer to pay local VAT / state sales tax (if any) in the country of delivery. A few countries (outside EU, UK, North America, NZ) may also charge duty or compliance fees on Videophones imported from Australia.
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Payment Section
Payment Method (monthly fees)
- Credit card or Debit card
- Other method
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Card Section
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Monthly Payment Method - Card
- Same card used to pay for Videophone
- Other Credit Card
- Direct Debit (not available for BYO plans)
- Xero Invoice
Name on Card
Card Type
Card Number
Expiry
CVC
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Other Payment Method Section
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Monthly Payment Method - Invoice
- Same card used to pay for Videophone
- Other Credit Card
- Direct Debit (not available for BYO plans)
- Xero Invoice
Konnekt can send monthly invoices to the buyer or to a MyAgedCare provider or NDIS provider (sometimes known as a Case Manager, Support Manager, Care Manager or Plan Manager). All monthly fees can generally be paid for using NDIS funding or a MyAgedCare Home Care Package (HCP).

If using a MyAgedCare or NDIS provider, please enter the following in the field below:
- Provider company (e.g., BaptistCare)
- Provider contact person
- Provider contact phone number
- Provider accounts email address for the invoices
Payment Details
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Payment Section 2
Terms and Conditions*
- I agree to the Konnekt Terms and Conditions
View Terms and Conditions
After you submit your order, Konnekt will send a request, to the email address you provided above, with a link to a Preferences form, to ask for Call Button names, personalization options and special requirements.
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What They Bought Section
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Order Date - dd/mm/yyyy
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Purchased
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Rent-Buy
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Trial
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Payment Status text Part 1
. TRIAL/SERVICE COMMENCEMENT DATE = dd-mmm-yy (fill in after Videophone is operational) PAYMENT STATUS .... DATE PAYMENT RECEIVED: dd-mmm-yy (date to be filled on ONLY by Konnekt Accounts) PROCEED WITHOUT PAYMENT: YES / NO (it's Yes only if KG or JN approve, eg. sale to Aged Care facility which pays on 30 days) REFERRAL PARTNER: Account: (who gets a commission from this sale):
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Referral Partner QUANTUM
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Payment Status text Part 2
. Description of Deal: (what deal has been struck) Quantum has already paid Konnekt $940 for hardware; we need to charge Quantum? for delivery, and charge the customer for any extras plus the monthly fees. Amount: (amount the Account above will be receiving): N/A Date Paid: (to be filled in ONLY by Konnekt Accounts): dd-mmm-yyyy SPECIAL REQUEST (if any):
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Once-off Payment heading text
. ONCE OFF PAYMENTS
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Once-off purchase text
: (Purchase) ... $0 ($1190 Videophone Bundle purchased by customer through QUANTUM, of which we already got $940)
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Once-off rental text
: (Rental) ... $330 Security Deposit
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Once-off trial text
: (30-Day-Trial) ... $330 Security Deposit. $89.90 Trial
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Delivery within Australia text
. $39 Delivery within Australia to either QUANTUM or to the customer (to be charged to QUANTUM, because they will have charged the customer for either delivery or installation)
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Delivery within most countries text
. $55 Delivery to NZ, USA, Canada, UK, Ireland, Japan, most of Europe ?
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Delivery within other countries text
. $150 Delivery to other countries
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Metro Installation Text
. $200 Metro Installation
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Monthly Fees heading
. MONTHLY FEES..
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Monthly Fee text
. $34.90/mth Monthly Fee
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Rental Fee text
. $89.90/mth Rental (max. 20 months)
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Konnekt Internet text - non-Trial
. $45/mth Konnekt Mobile Internet
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Konnekt Internet text - Trial
. $0/mth (during Trial) Konnekt Mobile Internet
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Extras text
. EXTRAS..
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Unlim Mobile text
. $19.90/mth Unlimited calls to mobiles in Australia
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Unlim World text
. $19.80/mth "WORLD": Unlimited calls to landlines in 62 countries and mobiles in 8 countries
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Konnekt Internet heading text
. KONNEKT SUPPLIED amaysim PREPAID SIM (our cost): mobileXXXX@konnekt.com.au amaysim 7GB data plan 7GB/28 days $15 SIM = xxxxxxxxxxxxx Mobile Number = 04xx xxx xxx or KONNEKT SUPPLIED Telstra SIM (our cost): Konnekt Pty Ltd Telstra Account Number (non-Program Participants) = 2465 2777 50 Telstra Tablet Data Plan 30GB/month $25 SIM = xxxxxxxxxxxxx Mobile Number = 04xx xxx xxx
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BYO Internet heading text
. KONNEKT SUPPLIED OVO PREPAID SIM (our cost): None
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Skype subscriptions heading text
. SKYPE SUBSCRIPTION(s) (our costs)..
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Skype Number Aus text
. $54.12/yr Aust Skype Number 02 / 03 / 07 / 08 xxxx xxxx
Currently disabled because we don't ask about Skype Numbers on the (regular) Videophone order form.
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Skype Number Non-Aus text
. $9.02/mth Non-Australia Skype Number
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Aus unl landlines text
. $5.50/mth Aust Unlimited landlines
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Aus unl landlines and mobiles text
. $28.05/mth Aust Unlimited MOBILES and landlines
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United States sub text
. $4.40/mth US Unlimited landlines & mobiles ?
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United States sub text
. $4.40/mth US Unlimited landlines & mobiles ?
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Canada sub text
. $4.40/mth Canada Unlimited landlines & mobiles ?
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UK sub text
. $4.40/mth UK Unlimited landlines & mobiles ?
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Ireland sub text
. $4.40/mth Ireland Unlimited landlines & mobiles ?
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Worldwide sub text
. $19.80/mth Worldwide Unlimited (63L, 8M)
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None (No Skype Subscriptions) text
. None
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Other stuff heading text
. OTHER STUFF INCLUDED..
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Modem definite text
. Modem: TL-MR6400
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Modem maybe text
. Modem: TL-MR6400 ?
Disabled. Unlikely to have a need for modem if not paying for Internet. Very rare, so omit it.
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Network cable text
. Cat-6 LAN Cable (1m / 2m / 3m / 5m) ?
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Table timber-colour text
. Table: Ikea, Oak
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Table white text
. Table: Ikea, White
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Table black text
. Table: Ikea, Black
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Bracket slim-line text
. Bracket: Slimline
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Bracket pan-tilt text
. Bracket: Pan-tilt
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Adhesive Clamps text
. Adhesive Clamps x 2 ?
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USA power lead text
. Overseas Power Lead: USA (Type B)
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Japan power lead text
. Overseas Power Lead: USA (Type B) with Japan Power adapter
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UK power lead text
. Overseas Power Lead: UK (Type G)
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Options power lead text
. Overseas Power Lead: Europe (Type F) / UK (Type G) / USA (Type B) ?
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Last WTB text
. USB Handset ? Do Not Turn Off Stickers x 2 ? Wireless Access Button? 5m DC Extension Cable ? Power board? Special items, eg. UPS ? CUSTOM CONFIGURATIONS TO BE DONE: WiFi Auto Connect ? Disable Pwr Button ? Blank Overnight: XXpm - YYam ? Email Call Records: weekly / daily ? Setup Ability Switch: XKeys / Spectronics ? IFTTT for customer connection to Smart Plug ? (Captioning): Skype Number as CLI (recommended) ? (Captioning): Mobile number CLI and Call Forwarding to Skype Number? ANY OTHER SPECIAL CUSTOM STUFF TO IMPLEMENT ?

…or contact Konnekt to ask a question.

secure payment acceptance and secure communications

QUANTUM Konnekt Videophone Order Form

Konnekt Videophone

Hidden Field Section

Buyer Details Section

The Videophone Buyer

The Videophone User

Deliver to

Purchase from QUANTUM

Rent-Buy

Trial

Order type chosen section

Purchase section

Trial section

Rent-buy section

Trial section

Universal section

Australia delivery section

Low-cost countries delivery section

Rest-of-world delivery section

Purchase or Rent-buy section

Monthly recurring payments to Konnekt

Rent-buy section

Purchase or Rent-buy section

Universal section

Purchase or Rent-buy section

Trial section

Universal section

Payment Section

Card Section

Other Payment Method Section

Payment Section 2

What They Bought Section