Italian-Subscription-Form
Please Select: Mr. Mrs. Miss. Ms. Dr.

Name

Do You Live In a House/Dwelling Unit/Town House/Villa Department Of Housing

Date

Address

Email

Driver’s License or Passport Number:

What you will pay:
STARTER PACKAGE:
6 Italian channels
4-month satellite subscription
standard set-up-box and smart card
TOTAL: $99.00
I confirm that I am over 18 and have read and agree to the above terms and conditions and the terms and conditions of Residential Subscription Television Agreement.
MySat: Suite 3, Level 3, 9 Deane Street, Burwood NSW 2134| Phone : + 612 9747 1011 | Fax: +612 9747 1022 | www.mysat.tv