Report A Mobile Broadband Fault
You MUST have tried to solve your issue first before completing this form.
It is essential that you have a ticket or fault number from your provider.

Please ensure you have your correct address (including locality) and co-ordinates before filling in this form. Co-ordinates should be in this format: -23.295476, 146.713776
Tips on how to get your GPS coordinates are here http://www.wikihow.com/Get-Latitude-and-Longitude-from-Google-Maps

BIRRR has several tips about maximising your mobile broadband service on our website here: www.birrraus.com

First Name *
Please use the name listed on the account in question.
Your answer
Last Name *
Please use the name listed on the account in question.
Your answer
Contact Phone number *
Your answer
Address *
Please type Address in this formation - 935 Tipton Street Surbiton QLD 4724
Your answer
State/Territory *
Required
Latitude and Longitude *
If you are unsure how to find your co-ordinates, please take a look at our website - https://birrraus.com/2016/04/23/how-to-find-your-latitude-and-longitude-using-google-maps/ Please ensure your co-ordinates are in this format: -23.295476, 146.713776
Your answer
Contact email address *
Your answer
Can you be contacted on Facebook?
Leave blank if no, type your Facebook contact name if yes.
Your answer
Who is your Provider ? *
Please note BIRRR can only assist with the three main mobile broadband carriers and not with resellers.
Please provide your fault reference or ticket number
Your answer
Please select if you have any of the following equipment. *
Required
When did your issue / fault start ?
Your answer
Please state your issue giving as much detail as possible.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service