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applypampanga.com
Converge FiberX Pampanga Area
Business Service Application Form
Select a plan
SELECT A PLAN (Required)*
MicroBIZ Max 75mbps 1449 + 125 for 24 months
MicroBIZ Max 100mbps 1599 + 125 for 24 months
MicroBIZ Max 150mbps 1799 + 125 for 24 months
MicroBIZ Max 250mbps 2099 + 125 for 24 months
MicroBIZ Max 400mbps 2499 + 125 for 24 months
BizEdge 3000 120mbps + 208 for 24 months
BizEdge 6000 250mbps + 208 for 24 months
BizEdge 11000 500mbps + 208 for 24 months
BizEdge 15000 700mbps + 208 for 24 months
BizEdge 21000 1000mbps + 208 for 24 months
FlexiBIZ 2000 100mbps on daytime and 50mbps on Night-time + 208 for 24 months
FlexiBIZ 4000 200mbps on daytime and 100mbps on Night-time + 208 for 24 months
FlexiBIZ 8000 400mbps on daytime and 200mbps on Night-time + 208 for 24 months
FlexiBIZ 12000 600mbps on daytime and 300mbps on Night-time + 208 for 24 months
FlexiBIZ 15000 800mbps on daytime and 400mbps on Night-time + 208 for 24 months
FlexiBIZ 18000 1000mbps on daytime and 500mbps on Night-time + 208 for 24 months
SELECT A PLAN (Required)*
Usage & Capacity Planning Internet Use Case: Describe your typical business internet activity to help us recommend the right plan. Device Count: Estimate the total number of devices that will connect to the internet (e.g., 5 Laptops, 2 Tablets, 3 Smartphones).
First Name
Middle Name
Last Name
Cellphone number 1
Cellphone number 2
E-mail Address 1
E-mail Address 2
Business Name
TIN Number
Industry Type
Representative's First Name
Department
Gender
Business Address
Customer Notes on COMPLETE ADDRESS (Required)*
Customer Notes on SELECTED PLAN (Required)*
Nearest Landmark
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