* Company Name :
* Type of Organisation :
* Company/ Business No. :
* Office Tel. :
Ext No. :
* Office Fax. :
* Title :
Others (please specify)
* Applicant's Full Name :
* Gender :
* Nationality :
Others (please specify) :
* NRIC No./ Passport No.(Non Malaysian Citizen) :
* Designation :
* Mobile No. :
* Email :
* Address :
* Address 2 :
* City :
* Postcode :
* State :
* Country :
* Email Address :
I wish to request for a Monthly Printed Bill Statement to be sent to my billing address (RM5 charge applies)
Same with installation address
Address 1 :
Address 2 :
City :
Postcode :
State :
Country :
Business Package :
Fixed IP :
Included in package
One (1) fixed IP
RM50/month
Additioanl One (1) fixed IP
RM250/month
Additioanl Five (5) fixed IP
 
Contract Period : 24-month contract
Upfront Payment upon Service Activation :

* Installation fee RM200 (Waived)
* A one-month deposit fee, one-month advance payment and charges for data usage (pro-rated), voice calls and services incurred after the installation date will be included in the first bill. Billing of data usage (pro-rated), voice calls and services from installation date is included in first bill.

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