Application Form

Date / / 20 .
Applicant Information
Name
Address
Phone number
E-mail address

Server type: WNC-904H Payment: Credit Card Only

Server Number (S/N) : WNS (Can set on MY PAGE expounded by Staff)
Server Rental charges: \1000 per month Method of Delivery:
Bottled Water charges: \1400 per bottle Every other week ( on Wednesdays )

Signature
　　　　　　　　

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customer copy
Application Form
Date / / 20 .
Applicant Information
Name
Address
Phone number
E-mail address

Server type: WNC-904H Payment: Credit Card Only

Server Number (S/N) : WNS (Can set on MY PAGE expounded by Staff)
Server Rental charges: \1000 per month Method of Delivery:
Bottled Water charges: \1400 per bottle Every other week ( on Wednesdays )

Signature