There used to be (supposed to be) hoops to jump through, as VAST CAMS are supposed to be for commercial use only, but several people have activated them exactly with the same online method as used for VAST decoders.
Commercial content, as in programming, is the same as metro affiliates, but the commercials (ads) are not, as VAST uses regional network affiliates, not the metro networks, so yes, you will get Alice Springs etc ads and a lot of scenic 'loops' on some channels which do not play actual ads, so they use these repetitive loops to fill the ad breaks.
There may be some sport that is available 'live' in states outside that of where games are played at times, but I'll leave that to people with card activations in WA/QLD to give you a factual answer.
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