SUBSCRIBER APPLICATION FORM AND AGREEMENT FOR PR1MA COMM RESIDENTIAL BROADBAND PLANSubscriber Application Form and Agreement for Pr1ma Comm Residential Broadband Plan • December 4th, 2018
Contract Type FiledDecember 4th, 2018 New application Change of Plan IMPORTANT: PLEASE READ THE TERMS AND CONDITIONS. FILL UP THE DETAILS, ATTACH THE SUPPORTING DOCUMENTS AS REQUIRED AND E-MAIL TO enquiry@pr1macomm.my APPLICATION MUST BE MADE BY PR1MA’S HOME OWNER OR AUTHORISED PERSON BY THE HOME OWNER (AUTHORISATION LETTER FROM THE HOME OWNER IS REQUIRED) RM 10 STAMP DUTYexcept change of plan Section A. Particulars of Applicant Name as per NRIC: NRIC: Installation Address: City: Postcode: State: Mobile No: Email: Office Tel No: Alternative No:(optional) Section B. Product/Service Details Type of Product/Service:1. PR1MA Comm Residential Broadband Plan with monthly charges PR1MA Comm 3 (RM79) PR1MA Comm 25 (RM119) PR1MA Comm 55 (RM169) PR1MA Comm 6 (RM89) PR1MA Comm 30 (RM79*) PR1MA Comm 105 (RM249) PR1MA Comm 8 (RM99) PR1MA Comm 35 (RM129) PR1MA Comm 15 (RM109) PR1MA Comm 45 (RM149) 2. VOIP Telephone Line with monthly phone rental PR1MA Comm VoIP (with Broadband Plan - FOC) PR1MA Comm VoIP 25 (RM25)