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Fiber Biz Application Form PDF
Fiber Biz Application Form PDF
FIBER BIZ
APPLICATION FORM
BUSINESS NAME AND TYPE
Company/Business Name
Nature of Business
TIN No.
Position/Designation
Email Address
ID Presented
Mobile Number :
PACKAGES
COMMITTED
IP
INFORMATION
ADDRESS
RATE
PLAN
MONTHLY
FEE
ONE-TIME
CHARGE
SPEED
(UP TO)
Fibrbiz 12
8,000
5,000
12mbps
1.2mbps
Fibrbiz 15
12,000
5,000
15mbps
Fibrbiz 30
15,000
5,000
Fibrbiz 60
18,000
Fibrbiz 100
25,000
LOCK-IN
PERIOD
MODEM
1 Static
2 YEARS
FREE
1.5mbps
1 Static
2 YEARS
FREE
30mbps
3mbps
1 Static
2 YEARS
FREE
5,000
60mbps
6mbps
1 Static
2 YEARS
FREE
5,000
100mbps
10mbps
1 Static
2 YEARS
FREE
Optional Add-on:
Additional Static
IP Address /29
MONTHLY
FEE
ONE-TIME
CHARGE
2,250
500
I have read & understood the terms and conditions. My signature below signifies that all information stated herein are true &
correct to the best of my knowledge.
Subscriber/Authorized Representative
Signature over printed name