SMART ENTERPRISE POSTPAID SERVICE APPLICATION FORM (CORPORATE)

Fill in all the required information. Do not leave an item blank. If item is not applicable, indicate "N/A"
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BRAND/PRODUCT TRANSACTION
SMART ENTERPRISE POSTPAID NEW CONNECT RETENTION
X
SUBSCRIBER'S INFORMATION *Required
TYPE OF BUSINESS / ORGANIZATION
x X CORPORATION GOVERNMENT SOLE/PARTNERSHIP OTHERS (Please Specify) _____________
COMPANY / BUSINESS NAME:
SEALYNX SHIPMANAGEMENT INC.,
BILLING ADDRESS (Building, Street, Baranggay, City/Province/Zip code):

5/F MJ Bldg., San Marcelino Street Malate Manila

BUSINESS CONTACT NUMBER/S:
63 2 8423 2886
Please fill out below for Sole Proprietorship or One Person Corporation Type of Business only
BUSINESS OWNER'S RESIDENCE ADDRESS: BUSINESS OWNER'S RESIDENCE CONTACT NUMBER:

5/F MJ Bldg., San Marcelino Street Malate Manila 63 2 8423 2886

AUTHORIZED SIGNATORIES
NAME: (Last Name, Given Name, MI) TITLE / POSITION: CONTACT DETAILS
Mobile/Landline: 9190740497
RUBY ROSE C. SAN PEDRO PURCHASING STAFF Email: sanpedro@aglaia.com/ph
NAME: (Last Name, Given Name, MI) TITLE / POSITION: CONTACT DETAILS
Mobile/Landline:
Email:
SIM ONLY PLANS
PLAN DETAILS PLAN 800 PLAN 1000 PLAN 1500 PLAN 2000 PLAN 2500
Number of Lines
Contract Term
INCLUSIONS
Internet (Local) 15GB 21GB 35GB 50GB 65GB
Calls to All Networks (Mins) Unlimited Unlimited Unlimited Unlimited Unlimited
Calls to All Landline Unlimited Unlimited Unlimited Unlimited Unlimited
SMS to All Networks Unlimited Unlimited Unlimited Unlimited Unlimited
Google Apps Google Apps Google Apps
Enterprise App Add-On Microsoft Apps Microsoft Apps Microsoft Apps
N/A N/A
(Optional) 1GB/day (+Php200/mo.) 1GB/day (+Php200/mo.) 1GB/day (+Php200/mo.)
2GB/day (+Php300/mo.) 2GB/day (+Php300/mo.) 2GB/day (+Php300/mo.)
Other Notes
(Optional)
MOBILE PLANS (WITH DEVICE)
PLAN DETAILS PLAN 800 PLAN 1000 PLAN 1500 PLAN 2000 PLAN 2500
Number of Lines 1
Handset Model
(Indicate device name & GB capacity) SAMSUNG A33
Color ANY ANY ANY AWESOME PEACH ANY
Device Amortization 100
One Time Cashout 2100
Contract Term 24 MONTHS
INCLUSIONS
Internet in GB (Local) 8GB 12GB 20GB 34GB 48GB
Calls to All Networks Unlimited Unlimited Unlimited Unlimited Unlimited
Calls to All Landline Unlimited Unlimited Unlimited Unlimited Unlimited
SMS to All Networks Unlimited Unlimited Unlimited Unlimited Unlimited
Google Apps Google Apps Google Apps
Enterprise App Add-On Microsoft Apps Microsoft Apps Microsoft Apps
N/A N/A
(Optional) 1GB/day (+Php200/mo.) 1GB/day (+Php200/mo.) 1GB/day (+Php200/mo.)
2GB/day (+Php300/mo.) 2GB/day (+Php300/mo.) 2GB/day (+Php300/mo.)
Other Notes
(Optional)
OTHER PLANS (Fill out only if applicable)
PLAN DETAILS PLAN 1 PLAN 2 PLAN 3 PLAN 4 PLAN 5
Base Plan

Number of Lines
Handset Model
(Indicate device name & GB capacity)
Color ANY ANY
Device Amortization
One Time Cashout
Contract Term (in mos.)
INCLUSIONS
Internet in GB (Local)
Calls to All Networks Unlimited Unlimited Unlimited Unlimited
Calls to All Landline Unlimited Unlimited Unlimited Unlimited
SMS to All Networks Unlimited Unlimited Unlimited Unlimited

Enterprise App Add-On

(Optiona, please provide detailsl)

OTHER PLANS (Fill out only if applicable)

PLAN DETAILS PLAN 6 PLAN 7 PLAN 8 PLAN 9 PLAN 10
Base Plan

Number of Lines
Handset Model
(Indicate device name & GB capacity)
Color ANY ANY ANY ANY ANY
Device Amortization
One Time Cashout
Contract Term (in mos.)
INCLUSIONS

Internet in GB (Local)
Calls to All Networks Unlimited Unlimited Unlimited Unlimited Unlimited
Calls to All Landline Unlimited Unlimited Unlimited Unlimited Unlimited
SMS to All Networks Unlimited Unlimited Unlimited Unlimited Unlimited

Enterprise App Add-On

(Optiona, please provide detailsl)

Switch Subsidy (Amount in PHP)

RATES (VAT inc.) FREEBIES: NOTES:

Data
GB P25
International
SMS P10
Voice ($ Rate) USD 0.40

DELIVERY DETAILS
COMPLETE DELIVERY ADDRESS: DELIVERY EMAIL:
5/F MJ Bldg., San Marcelino Street Malate Manila SANPEDOR@AGLAIA.COM.PH
DELIVERY RECIPIENT: CONTACT NUMBER/S:
RUBY ROSE C. SAN PEDRO 9190740497
NEW CONNECT / RETENTION CONFORME
By signing this form, I certify that I have read, understood and accepted the SMART ENTERPRISE POSTPAID TERMS AND CONDITIONS and that all information that I have given here are true, correct and updated. I authorize Smart
Communications, Inc. to verify such information from whatever sources it may consider appropriate. SMART shall not be liable for any damage and/or inconvenience brought about by my failure to comply with the above mentioned
Terms and Conditions. It is understood that the voluntary disconnection, termination or cancellation of the service or upgrade/downgrade of subscription plan or transfer of ownership may be effected but only upon the payment of the
pre-termination fee. Also, in the case of involuntary disconnection/termination of service, the corresponding pre-termination fee shall be automatically charged to the Corporation's/Company's account. I also understand that Smart
has the right to recover any amounts provided, such as, but not limited to, (i) any subsidy provided by Smart to the Subscriber; (ii) the value of the service unit; (iii) the value of any additional concessions given by Smart (i.e. free use of
Smart products and services).

RUBY ROSE C. SAN PEDRO

Authorized Signatory's Signature over Printed Name / Date Signed

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