Activate Pixel Mobile Contact First Name * Contact Last Name * Company * Website/URL Contact Email * Contact Phone * Have you registered for a Pixel account previously? * No Yes Not Sure Customer Code (as shown on existing bill) Next Accounts Payable First Name * Accounts Payable Last Name * Accounts Payable Email * Accounts Payable Phone * Business Type * ABN * Next Billing Address * Is the shipping address the same as the billing address * No Yes Next Shipping Address * Next Gateways Serial # * Model * Select Gateway Model EM-4GE2/4L EM-4GE2/1L EM-4GE1/1L Other Select Dual Plan * Pixel Mobile Dual Plus Pixel Mobile Dual Lite Select Single Plan * Pixel Mobile Single Plus Pixel Mobile Single Lite Select Plan Option * Pixel Mobile Single Lite Pixel Mobile Dual Lite Basic Monitoring I would like to enable basic monitoring to comply to AS-1735.19 requirements Brand / Model No. * Gateway Description (E.g. Lift 5 Pixel Building) * Gateway Site Street Address * Section Buttons Next Payment Period * Yearly Monthly Direct Debit Please contact me to arrange automatic payment. Next Add to Existing Pixel Monitoring Group? * No Yes Email Alert Notifications (Where alerts are sent) First Name * Last Name * Email * Section Buttons Next Special Instructions Next Summary Terms & Conditions * I agree to the Pixel Technologies Terms and Conditions of Trade Click to read the Terms & Conditions of Trade Submit Like What You See? Contact Us
