Type of Application :  [  ] New		[  ] Upgrade

Package: TMnet Streamyx Basic		TMnet Streamyx Enterprise	TMnet Streamyx Corporate
	 ADSL 512k /256k		[  ]ADSL 1.0M/384k		[  ]ADSL 1.0M/384k
	 [  ]RM44 (without Modem)	[  ]ADSL 2.0M/384k		[  ]ADSL 2.0M/384k
	 [  ]RM66(without Modem)	[  ]SDSL 1.5M			[  ]SDSL 1.5M
	 [  ]RM77(with Modem)
	
	 ADSL 1M/384k
	 [  ]RM88 (without Modem)
	 [  ]RM99 (with Modem)					 


*Name of Applicant :

* NRIC 	:					passport No.


*Installation Address :


*Postcode	:

*Tel No. (where TMnet streamyx is to be connected ) : 			  Fax :

Home Tel : 			Office Tel  :

*Email	:							*Race 	: Malay/Chinese/India/Other

*D.O.B. :		*Gender : [  ]Male	[  ]Female  	*Religion : 	

*Language use in house : 

*Login ID	1. 			2.			3.







For Company 

*Company Name :

*Company Registration No.  :

Total of Staffs		:		


 
please submit applicant's NRIC and telephone bill to proceed.
Post to AAC SYSTEM SDN BHD , B-306, Tingkat 1, Jalan Beserah, 
                             25300 Kuantan, Pahang

Or email to alfa88@streamyx.com.my
Tel : 09-5681898 (Miss Lim / Miss May)  Fax : 09-5665791