[ninja_forms id=12]
By click on submit, you hereby declare
(a) I hereby declare that I wish to subscribe for the Services provided by Maxis Broadband Sdn. Bhd.
(b) That the above information provided is true and correct.
(c) That I have read and agree to be bound by the following contract terms and all other Terms & Conditions printed and/or attached hereto and any amendments made thereto.
(d) That I hereby consent to the collection and processing of my personal information in accordance with the Maxis Privacy Statement.
(e) That I agree to allow the authorized installers to install the service at my home or premise.
Note:
– Should you require non-standard installation, you will need to bear the additional charges.
– Maxis reserves the right to impose a cancellation fee of RM200 should the installation be cancelled by the customer within 3 days of the confirmed installation date.