Connect X Application Form






CUSTOMER DETAILS


Please provide one (1) of the ID listed below. (Upload below) Parent or guardian will sign up if customer is below 18 years of age.



PLAN DETAILS












INSTALLATION FEES








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 X Terms and Conditions.




UPLOAD DOCUMENTS



Maximum 2 files, 3 MB per file allowed.