Inmarsat C -facilitators Application for Xantic services Inmarsat-C extra services: SAT.PC software & mailbox Two-Stage Access Mailbox facilities Please mail or fax the completed form to Xantic Customer Services: Email: service@xantic.net Fax: +61 7 5498 0098 or +31 70 343 4796 For quality reasons please do complete this form in capital letters only REGISTRATION customer, please fill in this form starting from Section 1. REGISTRATION Existing Customer Xantic Billing Account Number (Start at Section 1 if you want to open a new billing account for this service) Are you already registered for other Inmarsat-C services, then provide your USERNAME (=former PIN for existing customers Telstra Satellite Services) Leave this empty if you want a new registration. Please proceed filling in this form from Section 3. MODIFICATIONS - For changes to existing registrations (additions / deletions) please start from Section 4. 1. Name and address of (prospective) user of Xantic services Name Company .......................................................................................................................................... Contact person Mr / Ms./ Title .......................................................................................................................................... Address .......................................................................................................................................... Postal Code/ZIP Code City ……………………………………………………………………………………………………. State Country ........................................................................................................................................... Telephone numb Fax number ........................................................................................................................................... E-mail address ........................................................................................................................................... VAT number (only for companies in the European Union registered for VAT) .........................… I want the confirmation to be sent to the following email address: .................................. PAYMENT 2. To whom and which address should the bills be sent for Bank payment? Same as in question 1 To a different address (provide details) Name Company ............................................................................................................................................. Contact person Mr./Ms./ Title ............................................................................................................................................. Address ............................................................................................................................................. Postal Code/ZIP Code City ……………………………………………………………………………………………………… State Country .............................................................................................................................................. Telephone number Fax number ..................................................................................................................................... Private use Business use Field of activity MARITIME Navy Merchant Fishing Offshore Land Yachting / Leisure Cruise / Ferries Other …………….. LAND MOBILE Peace, Aid, NGO’s Defense & Government Media, Press & Broadcasting Oil, Gas & Energy Mining Transport Other ……………. AERO Commercial Aviation General Aviation NON END-USERS Carrier Carrier –SLES ISP ISP-LESO Other …………. To be filled in by Xantic USERNAME PASSWORD Date ………………………………………Name & signature Xantic officer ……………………………………………… Form edited on 07/03/16, ml Page 1 of 3 Inmarsat C -facilitators Xantic - Inmarsat C services Extra Services: SAT.PC, MAILBOX, TWO-STAGE ACCESS application form See explanatory notes on the back of this form 3. REGISTRATION DETAILS: 3.a Which extra services are requested? Inmarsat-C Messaging via Two-Stage-Access Inmarsat-C Mailbox facilities Inmarsat-C SAT.PC™ Software & Mailbox 3.b Size mailbox (if applicable) standard (32 kilobytes, maximum number of messages: 64) larger (*); please specify dimensions: ……………………..kilobytes …………………….. number of messages. (*) Your requested size will be subjected to approval. It will (or not) be honoured based on availability at our LES. 4. MODIFICATIONS Please change size mailbox larger (*); please specify dimensions: ……………………..kilobytes …………………….. number of messages. (*) Your requested size will be subjected to approval. It will (or not) be honoured based on availability at our LES. Signature 5. The contracting party agrees to the Xantic service, tariffs and payment conditions related to this service. Applicable to this request and the possible contract emerging of it, are the "Xantic General Terms & Conditions for Airtime and Value Added Services End-User Agreement” attached to the “Xantic Airtime and Value Added Services End-User Agreement”. If you are a new customer, please request a copy of this Agreement from our Customer Service Centre (service@xantic.net) and return it signed by fax/ post. Please be aware that registered users that have not made traffic during more than 6 consecutive months may be deleted from our system. For more information on conditions and tariffs contact your Xantic Sales Manager or Xantic Customer Services (see contact details below). For applications on behalf of companies and other organisations a duly authorised person must sign Name contracting party or assignee ................................................... Remarks Xantic Sales City ................................ Date Signature ............. ........................... …….................................................................................................................................. www.xantic.net Xantic Customer Services Email: service@xantic.net Access via Australia Tel: +61 7 5498 0000 Fax: +61 7 5498 0098 Telex: (71) 22432 TELCSC AA Access via the Netherlands Tel: +31 70 343 4543 Fax: +31 70 343 4796 Form edited on 07/03/16, ml Page 2 of 3 Inmarsat C -facilitators Explanatory notes for the completion of the Xantic Application for Inmarsat-C EXTRA SERVICES (Sat.PC, Mailbox, Two Stage Access) General Registration as an Inmarsat-C user with Xantic offers you the opportunity to communicate directly between your office and mobile C-terminals in the AOR-East, AOR-West, IOR and the POR via Xantic. This communication is independent of the routing offered by your national telecommunications authority (ies). Once approved, this application form will qualify the applicant to communicate from a fixed location to mobile Cterminals via telex, X.25 (PSDN), public telephone network (PSTN) or via Internet TCP/IP. Xantic reserves the right to perform a preliminary financial check if deemed necessary. Xantic charges no administrative handling fees. Each month the registered customer will receive a specified bill. Following the approval of the application the registered customer will receive a USER NAME and a PASSWORD which will identify the registered user as an officially registered member with Xantic. Together with the user name and password, a user manual will be provided. Customers will only have access to those services for which they are registered. Service Descriptions Inmarsat-C Communication and messaging via Two-Stage-Access Provides access, via your usual telecom provider for the terrestrial network and through Xantic for the satellite communication, to mobile C-terminals in the all ocean regions using two Land Earth Station Ids 12 and 22. Inmarsat-C communication is on a store and forward basis. Inmarsat-C charges are per 256bits. Inmarsat-C Mailbox facilities Provides the user with a mailbox where messages may be stored and retrieved by the fixed user using a user ID and Password. A mailbox is only for storage and retrieval of "from mobile" communication. Inmarsat-C SAT.PC Software facilitating communication with the mobile terminals from a fixed location. All that is necessary is a PC, modem, and telephone line. Cost of software package is 48 USD. Charges All prices expressed in US dollars (USD). Australian customers will be billed in Australian dollars (AUD). SAT.PC software package: USD 48.-. (standard mailbox free of charge). Mailbox facilities: Standard size (up to 32 kilobytes, maximum number of messages: 64): free of charge. Other sizes above standard: price subjected to availability; to be approved by product management. Two Stage Access: subscription free of charge. Messages: normal Inmarsat C charges (USD/256 bits). For information about charges please visit www.xantic.net or contact your Sales Manager or Xantic Customer Services. Form edited on 07/03/16, ml Page 3 of 3