TMNET Streamyx Application Form
Your MW Account No.
(if any)
:
Eg. 60192826778
*Please leave blank if you don't have any existing MW account.
Personal Detail:
Name Of Applicant
:
(As Per NRIC/Passport)*
Installation Address
:
City
:
eg: Kelana Jaya
Post Code
:
State
:
--State--
Johor
Kedah
Kelantan
Labuan
Melaka
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
Sabah
Sarawak
Selangor
Terengganu
Wilayah Persekutuan
Country
:
Tel.No.
:
(where streamyx is to be connected) eg.0378063300*
Fax.No.
:
Mobile No.
:
eg: 0163383330
Personal Email
:
NRIC
:
eg: 800715065621 (Please Enclose a copy of NRIC)*
Passport No.
:
(for Non-Malaysian Citizen-Please enclose a Copy of Passport)
Gender
:
--Gender--
Male
Female
Date of Birth
:
MM/DD/YYYY
Company Detail:
Company Name
:
(For Company Registration Only)
Company Registration No
:
(For Company Registeration Only)
Application Detail:
Package
:
--Type of Application Package--
Personal Streamyx Basic 512K (without Modem and RM75 Activation Fee)-RM44 for 60 Hours
Personal Streamyx Basic 512K (without Modem and RM75 Activation Fee)-RM66
Personal Streamyx Basic 512K (With Modem and RM75 Activation Fee)-RM77
Personal Streamyx Basic 1.0M(Without Modem and RM75 Activation Fee)-RM88
Personal Streamyx In-A-Box 512K(With Modem and RM75 Activation Fee)-RM77
Personal Streamyx In-A-Box 1.0M(With Modem and RM75 Activation Fee)-RM99
Organization TMNet Streamyx SOHO 1.0M(With Modem and RM75 Activation Fee)-RM148
Organization Streamyx In-A-Box SOHO 1.0M(With Modem and RM75 Activation Fee)-RM148
Organization Streamyx Enterprise 1.0M (1 Fixed IP, 3Emails and RM75 Activation Fee)-RM418
Organization Streamyx Enterprise 2.0M (1 Fixed IP, 3Emails and RM75 Activation Fee)-RM688
Organization Streamyx Corporate 1.0M (5 Fixed IP, 3Emails and RM75 Activation Fee)-RM618
Organization Streamyx Corporate 2.0M (5 Fixed IP, 3Emails and RM75 Activation Fee)-RM1188
Personal Streamyx Basic 384k - RM20 for 10 hours ( with modem rental )+RM5 X 24MONTH
Personal Streamyx Basic 384k ( without modem ) - RM20 For 10 Hours
Personal Streamyx In A Box 384k (with modem rental ) - RM20 For 10 hours + RM5 X 24MONTH
Personal Streamyx In A Box 512k (with modem rental ) - RM44 For 60 hours + RM5 X 24MONTH
Personal Streamyx Basic 2.0m (with modem)-RM188 waive activation & installation
Personal streamyx basic 1.0m(with modem)-RM118(Triple Play) waive activation
Personal Streamyx 512k(with modem)-RM98 (Triple Play) waive activation
Organization Streamyx Enterprise 1.0m RM432 (Triple Play ) - waive activation fees
Organization Streamyx Enterprise 2.0m RM698 (Triple Play) - waive activation
Organization Streamyx Corporate 1.0m RM638 (Triple Play) - waive activation fees
Organization Streamyx Corporate 2.0m RM1198 ( Triple Play) - waive activation fees
Organization Streamyx SOHO RM188 ( Triple Play ) - waive activation
Personal Streamyx512k (with modem rental ) - RM44 For 60 hours + RM5 X 24MONTH
PERSONAL PACKAGES 512 K ( WIRELESS WITH MODEM) -RM99
STREAMYX 512K BASIC HOME PREPAID 38 FOR 10 HOUR - WITHOUT MODEM
STREAMYX 512K BASIC HOME PREPAID 84 - WITHOUT MODEM
STREAMYX 512K BASIC HOME PREPAID 95 - WITH MODEM
STREAMYX 512K BASIC HOME PREPAID 95 - WITH MODEM IN A B.O.X
STREAMYX 1.0 M BASIC HOME PREPAID 106 - WITHOUT MODEM
STREAMYX 1.0 M BASIC HOME PREPAID 117 - WITH MODEM
STREAMYX 1.0 M BASIC HOME PREPAID 117 - WITH MODEM IN A B.O.X
STREAMYX SUPER DUPER DEAL RM 77 1.0Mbps FREE MODEM
STREAMYX SUPER DUPER DEAL RM77 In.a.Box 1.0Mbps FREE MODEM
STREAMYX SUPER DUPER DEAL HOME PREPAID RM95 1.0Mbps FREE MODEM
Login ID
:
(Mininum 3 characters, maximum 8 characters)*
Login ID 1
Login ID 2
Login ID 3
Email ID
:
(Mininum 3 characters, maximum 8 characters(xxx@streamyx.com))*
Email ID 1
Email ID 2
Email ID 3
Order Remarks
:
eg . self installation
Contact Person Detail:
Contact Person
:
Contact Person Phone No
:
Contact Person Email
:
Copyright © 2007 Mobile Wallet Sdn Bhd. All rights reserved.