KISA phone is the ultimate simple phone!

Step 1 of 7:Front of the KISA phone

Please enter names and phone numbers for your contacts. You can have up to 10 contacts. Phone numbers are optional and can be changed remotely later.

Name

Phone

Same size text on all buttons

Braille contact buttons on the front of the phone.

Step 2 of 7:Back of the KISA phone

Please enter additional information to be shown on the back of the phone.

My name: My address: Medical conditions: Emergency contact:

Show assigned phone number on the back of the phone.
Step 3 of 7:Phone design

Choose from one of our designs:
Step 4 of 7:Mobile plan
BYO
Use your own 2G/3G/4G SIM card

$ 0
per month

$0 plan

+

$349 phone

Your own plan inclusions
500 MBs of data recommended for updates and GPS

RED ESSENTIAL
KISA on Vodafone

$ 15
per month

$15 plan

+

$214 phone

50 minutes
of outgoing calls
30 cents per minute above included value

Critical Information Summary

RED UNLIMITED
KISA on Vodafone

$ 35
per month

$35 plan

+

$214 phone

Unlimited
International and premium numbers charged extra

Critical Information Summary

BLUE ESSENTIAL
KISA on Telstra

$ 20
per month

$20 plan

+

$214 phone

50 minutes
of outgoing calls
40 cents per minute above included value

Critical Information Summary

BLUE UNLIMITED
KISA on Telstra

$ 40
per month

$40 plan

+

$214 phone

Unlimited
International and premium numbers charged extra

Critical Information Summary
GPS Tracking

Subscribe to GPS tracking for $15 per month? First month is free and you can cancel at any time.

KISA Reminders

[5 reminders per day] Subscribe to KISA reminders for $25 per month?

[10 reminders per day] Subscribe to KISA reminders for $40 per month?

Paper Invoices

Receive paper invoices for $4.00 per month by post?
Phone number details:

I want a new mobile number
I want to keep my existing mobile number

If you want to get a new mobile number with KISA, we will assign that number to you. The number cannot be changed once assigned and you will not be able to transfer a different number to KISA once you have placed your order.

You can transfer an existing mobile number to KISA, but you need to be aware that you will need to terminate your contract with your existing provider and this may have consequences for you (including payment obligations to your existing provider). See our FAQs for more details.

Please enter the phone number associated with your SIM card.

Mobile Phone Number:

Please note: if you don't provide us with your mobile number, you won't have access to remote control settings and be able to make changes to the phone, because we require the mobile number to be able to send an update to the phone.

If you do not know what the mobile number is now, please leave it blank and submit the order and then contact our friendly team on: 1300 557 453 to provide us with what the mobile number is so that we can update our records.

This is a billed service
This is a prepaid service

Current Mobile Provider:

Provider:

Service Account Number:

SIM Card Account Holder DOB *:

Acknowledgment of obligations:
I declare that I have a contractual right to the Mobile Service Number(s) (“MSN”) and am authorised to request porting of the MSN. I acknowledge that Kisa has advised me that this Customer Authorisation Form is only valid for a period of 30 days; and that porting will take place within 2 business days of the date nominated on this form is submitted. I acknowledge that I have been advised that by Porting the Mobile Service Number, the service and/or Related Services associated with that Number may be disconnected from the Losing Service Provider and may result in finalisation of the account for that service. I authorise the MSN and the Network Type (GSM, UMTS) and any other porting information to be disclosed to other carriers, network providers, portability service suppliers and financial institutions for the purpose of porting and routing of calls to the MSN, complaint handling, customer and network fault management, fraud prevention and fraud investigation.
I acknowledge that I have been advised by Kisa that I must use a KISA phone handset with this service and my old handset cannot be used.
I acknowledge that I have been advised by Kisa of the following:

Although I may have the right to Port the Mobile Service Number, there may be costs and obligations associated with the existing mobile service and Porting the Mobile Service Number;

I may or may not be in an existing contract with the current Service Provider; and

The contract may or may not include an obligation to make early termination payments to the current Service Provider.

Tick All
Step 5 of 7:Accessories and optional extras

Pouch

Protect your KISA phone and reduce pocket dials.

$20

Magnetic charging cable

Eliminate the hassle of plugging the cable into the phone.

$20

Earphones

Especially useful for those hard of hearing.

$10

Rubber bumps

Raised rubber bumps to be applied to the surface of the KISA phone.

$6
Step 6 of 7:KISA Account

We recommend for the Account Holder to be a carer or a family member, not the phone user.

You are adding a new phone to your existing account.

You do not need to re-enter your registration details.

Title:

First Name *:

Last Name *:

Email *:

Confirm email *:

Primary Phone Number *:

Alternative Phone Number:

DOB *

Primary / billing address:

Address Line 1 *:

Address Line 2:

Suburb *:

Post Code *:

State *:

Country:

Tick this to ship to a different address

Shipping address:

Title:

First Name *:

Last Name *:

Email *:

Mobile Phone Number *:

Address Line 1 *:

Address Line 2:

Suburb *:

Post Code *:

State *:

Country:

Step 7 of 7:Payment details

TOTAL PAYMENT DUE:

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Add Photo

Use Add Photo button above to select a photo

By saving I confirm that I have the right to upload the photo to KISA's website and to place the photo on my device.

Bank Name:
Account Name:
BSB:
A/C#:
I/We authorise ongoing payments.
I/We authorise Ezidebit Pty Ltd ACN 096 902 813 (User ID No 165969, 303909, 301203, 234040, 234072, 428198) to debit my/our account at the Financial Institution identified above through the Bulk Electronic Clearing System (BECS) in accordance with the Debit Arrangement stated above and this Direct Debit Request and as per the Ezidebit DDR Service Agreement (Ver 1.9) provided. * To download DDR form click here: DDR Form

Initial:
KISA phone
Phone pouch
Magnetic Cable
Earphones
Rubber bumps

Usage / ongoing:

Location (GPS) Service (free 1st month)	$0.00	/ $15.00 from 2nd month
KISA Reminders Service
Paper invoices
Discount:
Total amount payable:

Acknowledgment of obligations:

Pouch

Magnetic charging cable

Earphones

Rubber bumps

Please choose your payment method

Alternative payment methods:

Please check initial and ongoing charges: