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    Commercial City Application Form

    Uploaded by

    Sinno Ttoh

    Copyright:

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

    Commercial City Application Form

    Uploaded by

    Sinno Ttoh
    17 views1 page

    Original Title

    COMMERCIAL CITY APPLICATION FORM

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Copyright:

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

    Commercial City Application Form

    Uploaded by

    Sinno Ttoh

    Copyright:

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

    COMTEN-SAF Control Number: 000389

    COMMERCIAL TENANT
    SUBSCRIBER APPLICATION FORM
    Instructions: Please answer all questions and sign the application form. Write “N/A” if the question does not apply to you. For any question or inquiries,
    please call 631-86-51 loc 6633 or email us at [email protected]. Please place a check mark (✓) on the appropriate box.

    CUSTOMER INFORMATION

    COMPANY NAME:

    COMPLETE

    INSTALLATION ADDRESS: No. Street Village/Barangay/Municipality

    SEC/DTI Registration No.: Industry Segment: Business Type: Single Prop. Partnership Corporation

    Authorized Signatory: Official Designation: E-mail Address:

    Technical Contact: Mobile Phone No.: Company ID No.:

    Broadband Monthly Recurring One-Time Advance Payment


    Burst Speed
    Package* Installation Fee (VAT INC)
    Charge (VAT INC)

    Plan 1799 Up to 10 Mbps P1,799.00 P4,000 P1,799.00

    Plan 2499 Up to 20 Mbps P2,499.00 P4,000 P2,499.00

    Plan 3999 Up to 50 Mbps P3,999.00 P4,000 P3,999.00

    Plan 4799 Up to 100 Mbps P4,799.00 P4,000 P4,799.00


    • includes 2.4G/5G Modem

    Contract Term

    12 Months

    ACKNOWLEDGEMENT

    We hereby confirm that the foregoing information as set out in this Application are true and correct.
    We also confirm that the terms and conditions for the provision of the Service as set forth in this Application are acceptable to us,
    including the Contract Term, the amount of the Monthly Recurring Charge, Installation Fee and Advance Payment, in the respective
    amounts indicated above.
    We acknowledge that this Application shall be subject to the attached Terms and Conditions Governing Commercial
    Broadband Service. These Terms and Conditions cover, among others, billing procedures, penalty for pre-termination and our
    responsibilities governing the use of the Service. We acknowledge to have understood all such Terms and Conditions and agree to
    comply with such Terms and Conditions.
    All fees stated herein are exclusive of Value-Added Taxes (VAT). We confirm that VAT shall be for our account.

    Commercial Tenant
    By:
    Designation Date Signed
    Authorized Signatory
    (Printed Name over Signature)

    CORPORATE ACCOUNT SINGLE PROPRIETORSHIP


    APPLICATION - Corporate Registration Documents (SEC, Articles of Incorporation, DTI or - Valid ID (passport, driver’s license, TIN ID etc.)
    REQUIREMENTS: Mayor’s Permit) - Proof of Billing (Credit Card, Utility Bill, Bank Statement
    For new applicants, please - Audited Financial Documents etc.)
    submit the following requirements - Written authority to transact (Corporate Secretary’s Certificate, - Proof of Income (ITR, Employees Certificate, Credit Card
    for us to process your application. Authorization from the Partner, and/or Special Power of Attorney) Bill etc.)
    - Company ID with specimen signature - Other ID (e.g., for foreigners: ACR, VISA, work permit,
    etc.)

    Leopard Commercial Tenant Application Form Page 1 of 1

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