Corporate Registration Form
CONTACT INFORMATION
Name of Company
Date of Incorporation
Name of Authorized Person
Business Registration No.
Designation
Email Address
Address
Postal Code
Contact No.
BILLING INFORMATION (If different from the contact information)
Name
Designation
Address
Postal Code
Please tick accordingly
Single Bill
Billing per department
SMART TEL 1542 ACTIVATION
Department
Name
Phone Number
(fixed and mobile lines)
Email Address
Smart Roam
(please tick if Smart Roam Service to be activated)
Smart Fax
(please tick if Smart Fax Service to be activated)
1.
2.
3.
1.
2.
3.
1.
2.
3.
TERMS AND CONDITIONS
I/ We agree to accept Smart Tel's Terms and Conditions. Please
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