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| QMAX - WisePort, Maritime Wireless Broadband |
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| * Please ensure that all fields are to be completed in full to avoid delay in the process of your application. Our sales staff will contact you within 24 hours to confirm the creation of your account. |
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| PRODUCT SUBSCRIPTION |
| Subscription Type : |
No Contract Subscription
One Year Contract
Two Years Contract
- Includes FREE Lease of Modem
- One-Time Charge(OTC applies)
- For use on land and at sea
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| Product Type : |
OTC :
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Product Price:- FREE:12 Months Plan : 512kbps, (Dynamic IP)Unlimited, Dedicated Broadband - $105.93 per month
- 12 Months Plan : 512kbps,(Dynamic IP) Unlimited, Dedicated Broadband - $105.93 per month. OTC applies or 1000kbps, (Dynamic IP)Unlimited, Dedicated Broadband - $158.36 per month. OTC applies.
- 24 Months Plan : 512kbps,(Dynamic IP) Unlimited, Dedicated Broadband - $105.93 per month. OTC applies or 1000kbps, (Dynamic IP)Unlimited, Dedicated Broadband - $158.36 per month. OTC applies. FREE 2 months on mth 25th and mth 26.
All prices are inclusive of 7% GST.
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| APPLICATION |
| Name (as stated in NRIC / Passport): |
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| NRIC / Passport Number / FIN: |
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| Date of Birth : |
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| Mobile No. : |
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| Home Tel : |
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| Installation / Billing Address : |
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| Postal Code : |
Country
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| Current Email : |
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| COMPANY DETAILS |
| Name of Company : |
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| ACRA/ROC/Ship Registered No.: |
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| Billing Address : |
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| Postal Code : |
Country
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| Main line : |
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| DID : |
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| Fax line : |
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| Email Address : |
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| Preferred Method of Payment : |
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| Name of Credit Card Holder : |
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| Credit Card Number : |
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| Remarks : |
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| APPLICANT'S SIGNATURE AND UNDERTAKING: |
| I hereby confirm that the above given by me is true and correct and agree to accept and be bounded by such terms & conditions, which accompany the account. I acknowledge that the use of my QMax Account is subjected to the minimum subscription period as specified above and I will be liable for surcharge if I prematurely terminate the subscription as stated in the Terms & Conditions which I acknowledge that I have been given a copy of. I/We further agree that the terms and conditions of this agreement are subjected to ammendments by QMax Singapore from time to time, as QMax deem appropriate. |
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| Promotional is subjected to terms and conditions as specified by QMax Singapore Pte Ltd, offer is good while stock lasts on a first come first served basis. |
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| QMax Singapore Pte Ltd, 31 International Business Park, #05-05, Creative Resource, Singapore 609921.
Tel: +65 67960313. Fax: 6796 0330. Website: www.qmax.com.sg. Email: sales@qmax.com.sg |
