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NET2U Internet Access Service Application Form
Application Type
NET2U Broadband
TALK2U IP Phone
Customer Details
Subscriber Name [as in NRIC / Passport / Business Registration] :
NRIC
Passport No.
Business / Company Registration No.
[Please submit a copy during installation]
Contact Person Name [ Mr / Ms / Mrs etc ]
:
Current email address [if any]
:
Mobile No.
:
Home Tel. No.
:
Office Tel. No.
:
Fax No.
:
Postal / Correspondence Address
:
Postcode
:
Installation Address
:
As per above
Postcode
:
HOME Flat / Apartment / Condo
HOME Townhouse / Gated Community
HOME Link / Terrace/Bungalow / Semi-D
BUSINESS / ORGANISATION Account
Tel No.
:
Service Details
PC Operating System
:
Microsoft Windows
Macintosh OS X.x
Others:
Does your PC have ……. ?
:
Network Interface Card
Available PCI slot
Terms and Conditions
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