Common Contracts

SUBSCRIBER’S APPLICATION FORM AND AGREEMENT FOR PR1MA COMM RESIDENTIAL BROADBAND PLAN

Subscriber Application Form and Agreement for Broadband Plan • October 5th, 2020

• Contract Type
  Subscriber Application Form and Agreement for Broadband Plan
• Filed
  October 5th, 2020

 New application  Change of Plan IMPORTANT: PLEASE READ THE TERMS AND CONDITIONS CAREFULLY. FILL UP THE DETAILS, ATTACH THE SUPPORTING DOCUMENTS AS REQUIRED AND E-MAIL TO enquiry@pr1macomm.my APPLICATION MUST BE MADE BY PR1MA HOME’S OWNER OR ANY AUTHORISED PERSON (AUTHORISATION LETTER FROM THE HOME OWNER IS REQUIRED) RM 10 STAMP DUTY Section A. Particulars of Applicant/Subscriber (“Customer”) Name as per NRIC: NRIC: Installation Address: City: Postcode: State: Office Tel No: Email: Mobile No: Alternative No:(optional) Section B. Product/Service Details Type of Product/Service (Package prices are to be advised):1. PR1MA Comm Residential Broadband Plan PR1MA Comm 30 (RM 79) PR1MA Comm 60 (RM 99) 2. VOIP Telephone Line PR1MA Comm VoIP (added – RM 10) 3. Preferred Installation DateDate 1: / / Time : AM/PM Date 2: / / Time : AM/PM Date 3: / / Time : AM/PM*While we exercise reasonable effort to meet your preferred date, there is no guarantee that we would be able to meetyour request Sec