Common Contracts

SERVICE APPLICATION AND AGREEMENT FORM

Service Agreement • January 23rd, 2018

• Contract Type
  Service Agreement
• Filed
  January 23rd, 2018

Subscriber’s Details Name of Individual: Select if you are an existing customer NRIC/Passport No/Foreign IdentityNo: Nationality: Date of Birth: DD/MM/YYYY Gender: Male Female Service Address: Postal Code: S Email: Mobile: Home Number: NRIC and Name of Subscriber whoreferred you: Previous Internet Service Provider: Do you watch Netflix: No / Yes ( If yes: Netflix USA / Netflix Singapore ) How did you first get to know about ViewQwest? Google Facebook Website Word of Mouth Retail Outlets Brochure Roadshows Others: ViewQwest Service Plans (Please select one of the following) FibernetTM 1Gbps Bundle @ $49.90/mth(Effective rate $39.50/month after $250 bill rebate) FibernetTM 2Gbps – Single Network Bundle @ $69.90/mth(Effective rate $64.10/month after free 2 months subscription) Monthly Plan comes with: 24 Months Subscription Free Modem Rental Free $250 Bill Rebate (From 7th month onwards) Free Freedom DNS for the first 3 months (optional thereafter at $10.