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  Home : After Sales Services : Residential Service : Request for Residential Services Contract  
Request for Residential Services Contract

Request for Contract Service Agreement (Online Form)

Neighbourhood Carrier Man Care Program

This Service is provided within mainland Singapore only.
Compulsory fields are marked with an asterisk (*).

 Customer's Name*:
 (Owner's full name)
 Address: Unit No.: # -
 Street Name*:
 Building Name:
 Postal Code:  
 Contact Person:
(provide only if different from Customer name)
 Office Phone: ext:
 Res. Phone*:
 Pager / HP No.:
 Email*:
  Type of Equipment
 
 Brand
 Indoor Unit Qty Outdoor Unit Qty
 Carrier
 Toshiba
 Others:  
  Preferred Package
 Please Select Package*:
 Click here for more information on packages
 Click on package's name to select desired package, if you wish
 to select more then one, please hold "ctrl" key and click again
 Contact me before Sending Agreement via*:
 Send Agreement to Me via*:
   Additional Remarks:
   
 
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