Connect Biz Xcess Application Form






CUSTOMER DETAILS



Please provide proof of Billing and Street Address

Compulsory Requirement

Please provide the following essential documents during signup (Upload at bottom)



PLAN DETAILS




















DOMAIN* & EMAIL ADDRESS (Optional Service)



















LOGIN DETAILS


4-16 characters, a-z in lower case letters with first character an alphabet

4-8 characters, a-z or 0-9 in lower case letters



TELEPHONE DETAILS

ADSL service requires a Telephone/Data Line, please select from the options below

Letter of Authorization from Telephone line owner if the telephone is not registered under your name. (Attach below)



USER AGREEMENT


I/We hereby:

(a) Certify that the particulars hereinabove provided are true and correct.
(b) Agree to pay on demand all charges made by TFL in connection with the above service.
(c) Declare that I/We have read, understood and agreed to comply with and be bound by the provision of Connect Biz Xcess Terms and Conditions.




UPLOAD DOCUMENTS



Maximum 3 files, 3 MB per file allowed.