PLEASE PROVIDE THE FOLLOWING INFORMATION

I-CUSTOMER INFORMATION

Your name

Your address

Your phone number

 

II-INFORMATION OF PHONE INSTALLATION

( Please provide the contact  information of your family in Vietnam where the phone will be installed)

Address of your family in Vietnam

 (where the phone will be installed)

Contact person

Contact number

Do your family in Vietnam have ADSL?

Yes                            No

If no, when the ADSL will be installed