AsiaBroadBand - Streamyx Online Registration

Company Registration

Company Name:

Registration No:

Address:

Name (as in IC):

New IC Number:

Old IC Number:
	Born on 1977 or ealier must provide Old IC Number
Tel no wish to install Streamyx:
	example: 0333243980 For applicant without phone line yet,please leave the phone number blank we can help you register phone line and Streamyx together.
Handphone No:
	example: 0132461083
Select Streamyx Package You Wish to Subscribe:

if you can not submit your photocopy IC now, you can fax your photocopy IC (both Side) to 0333243980 later. Please write attn to Loh Yee Peng / Loo Say Teng After Faxing, just SMS your name to 013-2461083 so that I can collect your fax beside the fax mac
Upload IC (front-end Copy):	Max filesize: 1048576 bytes

Upload IC (back-end Copy):	Max filesize: 1048576 bytes

Upload Borang 9:	Max filesize: 1048576 bytes

Additional Remarks:

Please submit only if you agree with the Terms & Conditions

** For those applicants unsuccessful to submit streamyx order in this registration page, please Download Document here and email back to duncan1004@gmail.com