Connect X Application Form

Customer Details



CUSTOMER DETAILS

Plan Details & Installation Fees

PLANS

Plans ( ✓ ) Rental (VIP) Deposit Total Data Peak Data (6AM-6PM) Off-Peak Data (6PM-6AM)
$39.00 $40.00 150 GB 75 GB 75 GB
$59.00 $60.00 240 GB 120 GB 120 GB
$79.00 $80.00 330 GB 165 GB 165 GB
$99.00 $100.00 450 GB 225 GB 225 GB
TOP UP RATES (VIP) $5.00 / 4 GB $10.00 / 10 GB $20.00 / 25 GB $50.00 / 65 GB $100.00 / 150 GB
Top Up data has 30 day expiry period. Base data will be used first and Top Up data used second on the new month

INSTALLATION FEES

Select ( ✓ ) Contract Period Breach of Contract Fee
2 Year Contract 3 Months Rental Fee
No Contract None
1 Year Contract 3 Months Rental Fee

Login & Telephone Details

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 & Document Upload

USER AGREEMENT

I/We hereby:

(a) Certify that the particulars herein above 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 X Terms and Conditions.



UPLOAD DOCUMENTS

Maximum 2 files, 3 MB per file allowed.