CONTACT
Providing you INFORMATION
the best
service that INSTALLATION,
MAINTENANCE, & REPAIR:
we can offer 09366400069
ALAIN COLLANO YCOY
INQUIRIES & PAYMENT
TRANSACTIONS:
We aim to connect people
in places with no internet 09128550648 (TNT)
services. 09152346995 (GLOBE)
BIENVENIDA YCOY MONTENEGRO
We aim to provide internet
connection to areas within
Ormoc City at an affordable
TELEPHONE NO:
(053) 8888-7641
BYM
and reasonable price.
INTERNET
ADDRESS:
& WIFI
Tent City Block 1 Lot 9, SOLUTIONS
WHAT
Brgy. San Isidro,
Ormoc City Leyte CONNECTING PEOPLE
TOGETHER
WE AIM
APPLICATION FORM SERVICES TERMS OF AGREEMENT:
New Renewal
First Name: _____________________ OFFERED: 1. I hereby confirm that the foregoing information is true and
correct, that supporting documents attached hereto are
Middle Name: ___________________ genuine and authentic, and that I voluntarily submitted said
Last Name: _____________________ information and documents for the purpose of facilitating my
Birthday (MM/DD/YY): _____________ INSTALLATION application to the Service.
2. I hereby further confirm that I applied for and, once my
Citizenship: _____________________ application is approved, that I have voluntarily availed of the
plans, products and/or services chosen by me in this
Home/ Installation Address: Price - Depends on Location application form as well as the inclusions and special features
of such plans, products and/or services, and that any
______________________________
enrollment I have indicated herein have been knowingly
Bldg Name/ House No. Street
SUBSCRIPTION PLAN made by me.
3. I hereby authorize BYM Internet & WiFi Solutions or any
______________________________
person or entity authorized by, to verify any information about
Barangay City/ Municipality Province me and/or documents available from whatever source.
5 Mbps - 1,200/month (Unlimited) 4. I hereby likewise authorized you, your business partners and
affiliates to send me SMS alerts or any communication,
Type of ID Presented: 10 Mbps - 2,000/month (Unlimited) advertisement or promotional material pertaining to any news
______________________________ 15 Mbps - 2,800/month (Unlimited) or current product and/or service offered by you, your
Mobile No.: _____________________ business partners, subsidiaries, and affiliates.
20 Mbps - 3,500/month (Unlimited) 5. I acknowledge and agree to the holding period for the
Telephone No.: __________________ relevant service availed of. If I choose to downgrade my plan,
Email Address: ___________________ transfer any rights or obligations of my subscription or pre-
terminate or cancel my subscription within the Holding Period
Contact Person:
PISO WIFI/ VENDING MACHINE then I agree to pay relevant fees, charges, and penalties
______________________________ imposed by you. Further, I acknowledge and agree that any
Relation: _______________________ transaction (e.g. Bill adjustment, Reconnection, Plan Renewal,
- Installation cost depends on location Change Plan, and etc.) within the Holding Period or renewal
Contact No.: ____________________ made through any channel are made by me as a subscriber
but shall not exceed P30,000
who has control and discretion and therefore valid and will be
(Installation Materials Included). honored by me.
6. I am aware of the fees, rates and charges relevant to the
SUPPLEMENTAL INFORMATION service availed of and I agree to pay the same within the due
PAYMENT METHODS: date. I understand that I will be subject to, and hereby agree
and undertake to pay (late or non-late payment) stated in the
Terms and Conditions.
I agree that the information I provided is GCASH: 7. I hereby confirm that I have read and understood the Terms
certified true and correct. 09128550648
and Conditions of our subscription agreement found at BYM
Internet & WiFi Solutions and that I shall strictly comply and
Bienvenida Montenegro abide by these Terms and Conditions and any future
I agree to be subjected to BYM Internet amendments thereto.
& WiFi Solutions' verification of the PERA PADALA:
details I have provided for my plan - Cebuana Lhuiller
APPLICATION
___________________________
application. - Palawan Express Signature Over Printed Name of Subscriber
- Mhluiller
___________________ ___________________
Signature Date
