1515 CORPORATE REGISTRATION (POSTPAID)

Company Information
* Company Name
* Business Registration No
* Address 1
* Address 2
* Postal Code

Contact Person's Information
* Title
* Name
* Email
* Tel No (this is your login username)
Fax No

Sales Information
Sales Code
(If applicable)
  Saleperson Name

* Basic Services
Telcom 1515 Biz    Telcom 1515 Super Saver IDD   
Telcom 1515 Fax Premium   

Value Added Services:
Roam-4-Free(R4F) 

Number Registration
Telcom United reserves the right to approve / reject your application for value-added service(s).
Telephone Fax Numbers Mobile Nos Roam-4-Free
*1
 2
 3
 4
 5

Payment Type
Cheque
GIRO (Download GIRO Application form & send to us via mail)
Credit Card
      Name on Card:         
      Card Type:               
      Expiration Date:        Month   Year
      Card Number:          

- I/We undertake to comply with the terms and conditions stated overleaf and confirm that all information given is true and correct.

- A refundable deposit of SGD100.00 is applicable for individual sign ups and 1515 Super Saver sign ups.

- I/We acknowledge that there are different rates for different services and agree to pay a $10 one-time registration fee and monthly $5 fee for a minimum of 6 months period for subscribing to Roam-4-Free services.

- I/We agree to be responsible for all usage and charges billed to my account. I authorize you to directly debit my bank account/credit card for all services subscribed under my account, including all IDD charges billed at the then prevailing rates.


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