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Converge FiberX Pampanga Area
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Residential Service Application Form
Select a plan
All Plan details - SELECT A PLAN (Required)*
FiberX1250 100 Mbps
FiberX1500 300 Mbps
Super FiberX PLAY 200 Mbps 1349 Cable 54 Channels
Super FiberX MAX 400 Mbps 1599 Cable 54 Channels
Super FiberX PRIME 800 Mbps 2099 Cable 60 Channels
Super FiberX ULTRA 1000 Mbps 2599 Cable 88 Channels
FiberX Netflix 1558 200mbps HD 1 Stream
FiberX Netflix 1798 400mbps HD 1 Stream
FiberX Netflix 1998 500mbps Full HD 2 Stream
FiberX Netflix 2298 600mbps Ultra HD 4 Stream
Bida Fiber 888 75mbps
Bida Fiber 999 100mbps w/ SkyTV Cable
All Plan details - SELECT A PLAN (Required)*
First Name
Middle Name
Last Name
Cellphone number 1
Cellphone number 2
E-mail Address 1
E-mail Address 2
Gender
Date of Birth
Home Ownership
Owned
Rented
Years of Residency
Customer Notes on COMPLETE ADDRESS (Required)*
Customer Notes on SELECTED PLAN (Required)*
Nearest Landmark
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