Service Application Form

Please Write in CAPITAL LETTERS EVENT:

1. Company/Busin

2. Business and Billing A

TYPE OF BUSINESS: MICROBUSINESS/SOLE PROP PARTNERSHIP COOPERATIVE GOVERNMENT CO
UNIT/ FLOOR/ BUILDING NAME/ STREET NO./ STREET NAME

BARANGAY/ MUNICIPALITY/ TOWN

CITY/ PROVINCE

LANDLINE NUMBER

MOBILE NUMBER

3. Authorized Signatories an
A. NAME: (LAST NAME, FIRST NAME, MI)

TITLE/POSITION

EMAIL ADDRESS

B. NAME: (LAST NAME, FIRST NAME, MI)

TITLE/POSITION

EMAIL ADDRESS

BILLING RECIPIENT: (LAST NAME, FIRST NAME, MI)

TITLE/POSITION

EMAIL ADDRESS

4. Delivery De
*For multiple sites, please attach summary of address/es with corresponding two (2) company representatives and
Delivery Details is the same as the Billing Address
UNIT/ FLOOR/ BUILDING NAME/ STREET NO./ STREET NAME

BARANGAY/ MUNICIPALITY/ TOWN

CITY/ PROVINCE

RECEPIENT NAME A

EMAIL

CONTACT NUMBER

5. Installation Address (For Broa

UNIT/ FLOOR/ BUILDING NAME/ STREET NO./ STREET NAME

BARANGAY/ MUNICIPALITY/ TOWN

CITY/ PROVINCE

6. Optional Billing In
Enrollment to Online Billing
Administrator's name:
Contact Number and Email Address:

E-SOA (automatically waives the Hard Copy SOA and receive SOA via email)
Email Address:

CUSTOMER CONFI
I affirm the above given information is true and correct and hereby authorize SMART COMMUNICATIONS, INC. to v
requested to submit additional requirements to facilitate the processing of this application. I have read and acce
Terms and Conditions. I am fully aware that I will only be able to use the service where SMART COMMUNICATION
speed may vary depending on network availability and location. I am also aware that mybroadband service, provid
with SMART Broadband-provided equ

Authorized Signatory
Signature over printed name

Date
 LOCATION: DATE:
ny/Business Name

d Billing Address Details

ENT CORPORATE

atories and Billing Recipient

LANDLINE NUMBER

MOBILE NUMBER

LANDLINE NUMBER

MOBILE NUMBER

LANDLINE NUMBER

MOBILE NUMBER

livery Details
atives and contact information. (THIS MUST BE FILLED OUT)
 ZIP CODE

RECEPIENT NAME B

EMAIL

CONTACT NUMBER

(For Broadband Products Only)

ZIP CODE

Billing Instructions

ER CONFIRMATION
NS, INC. to verify such information from whatsoever source it may consider appropriate. I understand that I may be
d and accepted the (1) SMART BRO SOLUTIONS Terms and Conditions; and (2) SMART BRO ENTERPRISE EDITION
UNICATIONS, INC. has coverage. It is fully explained to me and I fully understand that the upload and download
vice, provided by SMART Broadband, purchased from SMART Broadband/ authorized sales agent, can be used only
ovided equipment and/or peripherals.

Account/Sales Associate
Signature over Printed Name

Sales Supervisor
Signature over Printed Name

Date
(Version 12.0)
Cellular Product Sheet
Company/Business Name:
Friendly Reminder: Please do not forget to sign the Pre-Termination portion below & write in CAPITAL letters

PLAN INCLUSIONS NUMBER OF LINES

Unlimited Call and SMS to Smart

Unlimited SMS to Sun
300

Call and Text No

Consumable
24 Months Contract

Unli Call and SMS to Smart

Unli Call and SMS to Sun
1GB
Call and Text Data
No Consumable
24 Months
500

Contract

Unlimited Calling Circle

2GB Data
Data on the Go
No Consumable
24 Months Contract

Unlimited Calls to Smart and Sun

Unlimited SMS
to Smart and Sun
24 Minutes Calls to Other
Networks
Call and Text
150 SMS to other Networks
1GB Data
800

No Consumable
24 Months Contract

Unlimited Calling Circle

3GB Data
Data on the Go
No Consumable
24 Months Contract

Unlimited TRINET Calls

24 Minutes of Calls to
other Networks
Unlimited SMS to ALL
Call and Text Networks
1
2.5GB Data
No Consumable
1000

24 Months
Contract

Unlimited Calling Circle

5 GB Data
Data on the Go
No Consumable
24 Months Contract
 5 GB Data
Data on the Go
No Consumable
24 Months Contract

Unlimited Calling Circle

Unlimited Data
1500
Data on the
Go No Consumable

24 Months
Contract
Unlimited TRINET Calls
48 Minutes of Calls
to other Networks
Unlimited SMS to ALL
Networks
Call and Text 4GB
Data
No Consumable
2000

24
Months Contract

Unlimited Call to SMART

Unlimited Data
Data on the Go
24 Months Contract

Unlimited TRINET Calls

60 Minutes of Calls
to other Networks
Unlimited Texts to ALL
Networks
Call and Text Unli
Data
No Consumable
2500

24 Months
Contract

Unlimited TRINET Calls

Unlimited SMS to ALL
Networks
Data on the Go
Unlimited Data
24 Months Contract

Unlimited Calls to ALL Networks

Unlimited
SMS to ALL Networks
5000 IE

Unlimited Landline
Calls
Call and Text Unlimited
Data
Infinity Perks
FREE
Smartphone*
24 Months Contract

*If memory is not listed above, the lowest memory model of the device would be allocated
*If color is not listed above, any color variant available on hand would be allocated
*Minimum 2 Months advanced MSF payment on all plans
*FREE Device would depend on the type of plan acquired, and subject for availablity
JAYCAR C. RIVERO / P04703
Sales Agent/Agent Code
Signature over printed name

CAMELLE V. DE CASTRO
Area Sales Supervisor/ Agent Code
Signature over printed name
below & write in CAPITAL letters

DEVICE MEMORY

IPHONE 8 PLUS 64GB

be allocated PRE TERMINATION FEE
ted
ablity I understand that by subscribing to SMART Postpaid and/or SMART Broadband Plan, I Shall b
required to subscribe for the minimum contract period as indicated above, commencing fro
the date the service is activated. Should i choose to pre-terminate or cancel the service with
the period specified. I shall pay the applicable pre-termination fee.
 I understand that by subscribing to SMART Postpaid and/or SMART Broadband Plan, I Shall b
required to subscribe for the minimum contract period as indicated above, commencing fro
the date the service is activated. Should i choose to pre-terminate or cancel the service with
the period specified. I shall pay the applicable pre-termination fee.

Conforme,

___________________________________________________
Authorized Signatory
Signature over printed Name

_________________
Date (MM-DD-YYYY)
 CASH OUT

1200/AMORT.
 MART Broadband Plan, I Shall be
dicated above, commencing from
inate or cancel the service within
pre-termination fee.
 MART Broadband Plan, I Shall be
dicated above, commencing from
inate or cancel the service within
pre-termination fee.

(Version 12.0)