Business Plan Registration

Contract Details

Period

Package to Subscribe (24 Months)

100 Mbps and above recommended for streaming, online gaming, online meeting & more

Voice Package (home wireless phone)

DectPhone + RM 20

Company Info

Company Type

Company Name

Business Registration Number

Full Name (as per MyKad/Passport)

Nationality

Phone Number

Secondary Phone Number

MyKadNumber

Front IC

Back IC

SSM Certificate

Email Address

Building Name / Apartment Name / Condo Name

Address

Floor No

Unit No

City / State

Postcode

I hereby consent to the collection, use, disclosure of my personal information in accordance with the Privacy Policy available on https:// www.citybroadband.my/privacy-policy-2/.

I hereby declare that the above information, documents and any appendices attached are true and valid. I have read and understood the contents of this form and agreed to be bound by general Terms & Conditions as stated on the https://www.citybroadband.my/terms-conditions/ which accompany the subscription of product(s) and/or service(s).

Special Remark

Upload your company stamp with SSM registration number or owner/responsible management signature.

Referral Program

Referral Code

For agent and sales team only.

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