• 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.
    KISA phone front preview
  • Step 2 of 7:Back of the KISA phone

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

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

    Choose from one of our designs:

  • Step 4 of 7:Mobile plan
    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 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.

    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:
    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


    KISA phone pouch

    Protect your KISA phone and reduce pocket dials.


    Magnetic charging cable

    Magnetic charging cable

    Eliminate the hassle of plugging the cable into the phone.



    KISA earphones

    Especially useful for those hard of hearing.


    Rubber bumps

    KISA phone bump on nodes

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

  • 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.

    DOB *
    Primary / billing address:
     Tick this to ship to a different address
    Shipping address:
  • Step 7 of 7:Payment details
    Please choose whether you are purchasing this phone as a private individual or on behalf of an organisation.
    If you are an organisation paying for a client's phone, please include contact details (organisation, email, phone number).
    Organisation Name:
    Additional Information:
    (e.g. contact details)
     Paying ongoing charges.

    Please choose your payment method

    We accept VISA and MasterCard debit and credit cards. Please note that charges on your credit card will appear as "Ezidebit".

     I authorise the total amount to be debited to my credit card. *
     I authorise all monthly charges to be debited to my credit card. *

    Ongoing payment details can be updated after you complete the initial purchase.

    Bank Name:
    Account Name:
     I/We authorise ongoing payments.
     I/We authorise Global Payments Australia 1 Pty Ltd ACN 601 396 543 (User ID No 342190, 342191, 428198) to debit my/our account at the Financial Institution identified above through the Bulk Electronic Clearing System (BECS) in accordance with this Direct Debit Request.
      * Electronic Direct Debit Request (EDDR): KISA EDDR

    Alternative payment methods:

    Please choose alternative payment type you wish to use:

    Please deposit the funds to the following bank account:

    Bank: Bankwest
    Account Name: KISA P/L
    BSB: 302 162
    A/C#: 1897563

    As a reference please use your account number, that will be emailed to you immediately after submitting this order.


    Please send the cheque to the following address:

    KISA P/L
    PO Box 331
    Moorabbin, VIC, 3192

    As a reference please use your account number, that will be emailed to you immediately after submitting this order.

    To proceed, please click on the Submit Order button below.

    Please note that your payment must be made within 7 days. Your phone will not be manufactured until your payment is made.

     I would like to use another payment method.
    Please enter a coupon code if you have one:
    Please tell us how you found out about KISA:

    Please check initial and ongoing charges:

    KISA phone final front preview
    KISA phone final front preview
    KISA phone
    Phone pouch
    Magnetic Cable
    Rubber bumps
    Usage / ongoing:
    Location (GPS) Service (free 1st month) $0.00 / $15.00 from 2nd month
    KISA Reminders Service
    Paper invoices
    Total amount payable:
     I agree to terms and conditions *

 Add Photo
Use Add Photo button to select a 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.
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