You can apply our service via

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ONLINE PAYMENT APPLICATION FORM (PREPAID)

By Credit Card, Maybank2U

Kindly fills in the following information and press submit button.
** Denotes required fields

Name**
( Name as in I.C. )
:
Contact No.** :
Handphone No. :
Office No. :
Fax No. :
E-mail Address** :
Address** :
Town / State :
Post Code :
Distributor/Introducer :
  • For each phone or pin number registered, the minimum prepaid amount is RM 100.00.
  • If you choose to register for - CLID (Caller Identification) Authentication, please proceed to Part (A) ONLY.
  • If you choose to register for - PIN Authentication, please proceed to Part (B) ONLY.
  • If you choose to register for BOTH CLID and PIN authentication, please proceed to Part (A) then Part (B).

Part (A) - CLID (Caller Identification) Authentication
Please enter the telephone numbers which you will use to access our network.
  Area Code Phone Number
1.
2.
3.
4.
5.

Amount subscribed :



Part (B) - PIN Authentication (Roaming Pin)
1.   Quantity of pin number to register    
2.   In what way you wish to receive your pin number :
      by e-mail           by courier
 ( By e-mail is free of charge, by courier is charge at RM 10 per trip. )


Other Features
Do you wish to subscribe to any of the following services provided by XinTel Sdn. Bhd. ?

1.  Itemised Billing (RM1.00 per month) :     No Online  Post    Both
      ( If yes, additional RM3 per account for billing summary )
2.  Auto Reload :         Yes    No

3.  SMS Reload :         Yes    No

* For customer who request SMS or Auto Reload, our customer services officer will contact you for the credit card details

I have read and agree with the terms and conditions
Yes
No

  

 

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