CHRISTMAS PROMO – SERVICE APPLICATION AND AGREEMENT FORMChristmas Promo – Service Application and Agreement • January 4th, 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: Yes ( Netflix USA / Netflix Singapore ) No 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 FibernetTM 2Gbps – Single Network Bundle @ $49.90/mth 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 $10.70/mth)• Free Delivery, self-installation• Select ONE of the following options: Free ASUS RT-AC1200G+ R
