N&N
N&N Information
Technology Solutions
Reliable Connectivity. Smarter Living.
HOME WiFi
APPLICATION FORM
ONLINE APPLICATION
ℹ PLEASE COMPLETE ALL SECTIONS ACCURATELY. INCOMPLETE INFORMATION MAY DELAY YOUR APPLICATION.
A
PERSONAL INFORMATION
1. Full Name (as per ID)
4. Date of Birth (MM/DD/YYYY)
2. Gender
Male
Female
Other:
5. Email Address
3. Mobile Number
B
ADDRESS / INSTALLATION LOCATION
1. House/Unit No.
4. Province
2. Street / Barangay
5. ZIP Code
3. City / Municipality
6. Landmark / Directions
(Optional)
C
GOVERNMENT ID
1. ID Type
Passport
Driver's License
UMID
SSS
Other:
2. ID Number
3. Upload ID Copy
⬆ Choose File
Attach Photo or Scan of ID.
D
PLAN / PACKAGE SELECTION
HOME WiFi PLANS
No Installation Fee
P599
· 25 Mbps
P699
· 50 Mbps
P799
· 60 Mbps
P999
· 70 Mbps
P1499
· 100 Mbps
SME PLANS
For Business Use
P1999
· 100 Mbps
P2499
· 150 Mbps
P3499
· 200 Mbps
P5499
· 300 Mbps
E
PAYMENT METHOD
Cash
GCash
Maya / Online Transfer
Bank Deposit
Preferred Billing Mode
Monthly
Pay-as-you-go
F
INSTALLATION SCHEDULE
Preferred Date
Preferred Time
Morning
Afternoon
Evening
G
TERMS AND CONDITIONS
All plans with free installation include devices owned by N&N InfoTech, to be returned upon termination.
Subscriber agrees to pay the agreed plan amount before the due date.
Subscriber is responsible for the security of the equipment installed.
N&N reserves the right to suspend service for non-payment or breach.
Any damage due to subscriber's negligence will be charged.
I have read and agree to the Terms and Conditions.
✎
SIGNATURE
Applicant Signature
(draw below)
Gamitin ang mouse o daliri para pumirma
Clear
SUBMIT APPLICATION