Internet Service Application

Better internet. Better everyday. — fields marked * are required.

1. Applicant Information

Full Name *

Customer Type

Residential Business

Birthdate

Company / Business Name (if business account)

2. Contact Details

Mobile Number * Alternate Mobile Number

Email Address

Preferred Contact Method

Call SMS Email

3. Installation Address

House / Unit / Building Number Street

Barangay City / Municipality

Province ZIP Code

Landmark

Nearest Coverage Area (if listed)

Property Type

Owned Rented Commercial

4. Service Plan

Select	Internet Speed	Monthly Rate
	60 Mbps Good for everyday light use	PHP 1,199 / month
	80 Mbps Built for working from home	PHP 1,499 / month
	100 Mbps For medium to heavy usage	PHP 1,999 / month
	200 Mbps Surf the internet like a king	PHP 2,499 / month
	300 Mbps (coming soon) Are you building a rocket ship?	PHP 2,999 / month

One-time installation fee: PHP 1,500. First monthly bill is due one month after installation or activation.

Notes (optional)

5. Agreement

I acknowledge and agree to the terms and conditions of the internet service application. I understand that service availability is subject to area coverage and technical validation. I consent to the collection and processing of my personal information for application, installation, billing, and service support purposes. I acknowledge that there is a ₱1,500 installation fee, and that my first monthly bill will be due one month after service installation or activation.

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