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    Smart Saf Form 1

    Uploaded by

    Kenneth Japson
    This document is an application form for Smart Enterprise service plans. It requests information about the subscriber's business, authorized signatories, desired plans and included services, devices, rates, delivery details, and terms and conditions. The applicant certifies that they understand and accept the terms, and authorizes Smart to verify information and charge fees such as pre-termination fees. The representative and applicant signatures at the bottom confirm the application.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Smart Saf Form 1

    Uploaded by

    Kenneth Japson
    826 views1 page
    This document is an application form for Smart Enterprise service plans. It requests information about the subscriber's business, authorized signatories, desired plans and included services, devices, rates, delivery details, and terms and conditions. The applicant certifies that they understand and accept the terms, and authorizes Smart to verify information and charge fees such as pre-termination fees. The representative and applicant signatures at the bottom confirm the application.

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    This document is an application form for Smart Enterprise service plans. It requests information about the subscriber's business, authorized signatories, desired plans and included services, devices, rates, delivery details, and terms and conditions. The applicant certifies that they understand and accept the terms, and authorizes Smart to verify information and charge fees such as pre-termination fees. The representative and applicant signatures at the bottom confirm the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    826 views1 page

    Smart Saf Form 1

    Uploaded by

    Kenneth Japson
    This document is an application form for Smart Enterprise service plans. It requests information about the subscriber's business, authorized signatories, desired plans and included services, devices, rates, delivery details, and terms and conditions. The applicant certifies that they understand and accept the terms, and authorizes Smart to verify information and charge fees such as pre-termination fees. The representative and applicant signatures at the bottom confirm the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    SMART ENTERPRISE SERVICE APPLICATION FORM

    Pl ea s e check ( ✔) your a ns wer.


    BRAND/PRODUCT TRANSACTION
    SMART POSTPAID SMART BROADBAND NEW CONNECT RETENTION
    SUBSCRIBER'S INFORMATION
    TYPE OF BUSINESS / ORGANIZATION
    CORPORATION GOVERNMENT SOLE/PARTNERSHIP OTHERS (Please Specify) _____________
    COMPANY/BUSINESS NAME:

    BILLING ADDRESS (Building, Street, Baranggay, City/Province/Zip code):


    Default delivery address

    BUSINESS CONTACT NUMBER/S:

    AUTHORIZED SIGNATORIES
    NAME: (Last Name, Given Name, MI) TITLE / POSITION: CONTACT DETAILS
    Mobile/Landline:
    Email:
    NAME: (Last Name, Given Name, MI) TITLE / POSITION: CONTACT DETAILS
    Mobile/Landline:
    Email:

    PLAN DETAILS
    PLAN 1 PLAN 2 PLAN 3 PLAN 4 PLAN 5 TOTAL
    Monthly Recurring Fee (Base Plan + Other Services + Amort.) -
    Base Plan MSF (Plan only) -
    Other Services -
    Lock-in -
    No. of Lines -

    PLAN INCLUSIONS REMARKS/ADDITIONAL


    SMS (Hits) INSTRUCTIONS:
    (Indicate the MINs here for
    Voice (Minutes) retention)

    Data (GB)

    Consumable (Php)
    Additional Services (Licenses/Apps)

    DEVICE
    One-time Cash-out
    Monthly Device Amortization

    Pre-Termination Fee

    STANDARD RATES FOR SMART


    On-net SMS (to Smart) P0.50
    Off-net SMS (per SMS) P0.50
    ISMS (per ISMS) P10.00
    On-net Voice (per minute) P5.00
    Off-net Voice (per minute) P5.00
    IDD (per minute) $0.40
    Data (per kB) - applicable for Smart Postpaid & Smart Bro P0.05

    EXPAND FOR MORE PLANS

    PTF BUY-OUT (in Php)

    FREEBIES

    DELIVERY DETAILS (to be filled out by customer)


    Complete Delivery Address

    Delivery Recepient

    Email of recipient for payment notice

    Contact Name/Number

    NEW CONNECT / RETENTION CONFORME

    By signing this form, I certify that I have read, understood and accepted the SMART ENTERPRISE POSTPAID and/or SMART BRO ENTERPRISE TERMS AND CONDITIONS (with contract reference #P001 and #B001, dated June 22,
    2020, whichever applicable) and that all information that I have given here are true, correct and updated. I authorize Smart Communications, Inc. to verify such information from whatever sources it may consider appropriate.
    SMART shall not be liable for any damage and/or inconvenience brought about by my failure to comply with the above mentioned Terms and Conditions. It is understood that the voluntary disconnection, termination or
    cancellation of the service or upgrade/downgrade of subscription plan or transfer of ownership may be effected but only upon the payment of the pre-termination fee. Also, in the case of involuntary disconnection/termination of
    service, the corresponding pre-termination fee shall be automatically charged to the Corporation's/Company's account. I also understand that Smart has the right to recover any amounts provided, such as, but not limited to, (i) any
    subsidy provided by Smart to the Subscriber; (ii) the value of the service unit; (iii) the value of any additional concessions given by Smart (i.e. free use of Smart products and services).

    Jeffrey A. Santos Ceasar Ian Borla CPNMM21

    Printed Name & Signature of Company Signatory Printed Name & Signature of RM/W S

    DATE DATE

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