Form revised: May 12, 2008
SMART BRO with AIRBORNE ACCESS Bundle SUBSCRIBER & SERVICE INFORMATION (to be filled up by the Subscriber) Fill up all fields marked with an asterisk (*). Please provide your current account details which will be used in approving your application. Last Name*
First Name*
Middle Name*
Account Number*
Service Reference Number*
Billing Address*: House/Bldg. No., Floor No., Bldg./Apt Name; Unit/Apt.No., Block No., Street Name; Village/Subdivision; Barangay/Barrio; City/Municipality/Province*
Current Plan*
Landline Number*
Cellphone Number*
Email Address*
Zip Code*
Date of Birth*
CHANGE OF PLAN I would like to change my Plan to (please mark appropriate box with a √): Plan 999
Plan 1999
Plan 2600
Other Plan, please specify: ____________________
CONFORME I acknowledge that I have read and understood the Terms and Conditions for the Smart BRO with Airborne Access bundle, and I agree to be bound and to abide by them. I acknowledge and I understand that my Airborne Access subscription will be in effect starting from the date of approval of my application. I also understand that should I no longer wish to continue my Airborne Access subscriptions, I must inform Smart Customer Care through fax, email or hotline at least fifteen (15) days prior to the end of the month’s billing cycle otherwise I will continue to be billed ninety-nine pesos (P99) VAT-in per month for the Airborne Access service, which is subject to change in rate as may be mandated by SBI. ________________________________ SMART BRO SUBSCRIBER Signature over printed name
________________________________ AUTHORIZED REPRESENTATIVE Signature over printed name
*Submit this form to any Smart Wireless Center or email a scanned copy to Smart Customer Care at
[email protected] or fax this at (02) 845-7770
TERMS AND CONDITIONS for the SMART BRO with AIRBORNE ACCESS The provision for Smart Bro with Airborne Access wherein Smart Broadband, Inc. (herein referred to as “SBI”), together with Airborne Access Corporation (“Airborne Access”) will provide unlimited Airborne Access WiFi service in Airborne Access hotspots at the promo rate of P99/month (VAT-in) for a limited period (herein referred to as “AA Bundle”), shall be governed by the following Terms and Conditions. The terms and conditions (including any amendment) governing the AA Bundle will be available at the website www.smart.com.ph/smartbro. 1.
Application for the AA Bundle period will run from May 26, 2008 to December 31, 2008 (the “Promo Period”). Applications received during this period, if approved, will be provided an AA Bundle service offer at the promo rate of P99/month (VAT-in), from date of AA Bundle account approval until the deactivation of the Subscriber’s Smart BRO Plan 999 subscription. 2. Only active Smart Bro Plan 999 subscribers can avail of the AA Bundle. Smart Bro subscribers under a lower plan will need to upgrade to Plan 999 to avail of the AA Bundle. 3. No lock in period is available for this offer. Subscribers can enjoy the promo price of Ninety Nine Pesos (P99) VAT-in per month until he wishes terminate the AA Bundle or his Smart BRO service. Termination should be made fifteen (15) days prior to the end of the month’s billing cycle, otherwise the Subscriber will be charged the full amount of Ninety Nine Pesos (P99) which is equivalent to one month service. 4. If the application is approved, the P99/month (VAT-in) promo rate will be included beginning the subscriber’s next billing cycle, reflected in the bill pertaining to said billing cycle and shall continue to be billed at P99 (VAT-in) within the Special Price Period. 5. SBI offers the AA Bundle to its subscribers through the Smart Communications, Inc. (“Smart”) Wireless Centers, or through the Smart Bro website: www.smart.com.ph/smartbro 6. It is the sole responsibility of the subscriber to forward his accomplished application form to SBI either through the Smart Wireless Center or through Smart Customer Care via email or fax. 7. SBI shall have the option to approve or disapprove AA Bundle applications based on the subscriber’s credit standing, among others. 8. Discontinuance of the subscriber’s Smart Bro subscription, either through request for disconnection, payment delinquency, or for any reason whatsoever, will also result to the deactivation of the AA Bundle. 9. Any delinquency in the payment of the subscriber’s AA Bundle shall result to a disconnection of both his Smart Bro account and the AA Bundle. 10. In case of disconnection of the Smart Bro account as a result of payment delinquency, subscriber will have to pay all outstanding balances in his Smart Bro account to have his Smart Bro account reactivated. Clearing only either his Smart Bro or AA Bundle outstanding balances will not activate either his Smart Bro or his AA Bundle account. 11. Smart Bro subscribers can only have one (1) AA Bundle subscription, i.e. one (1) AA Bundle account per Smart Bro account only. To preserve the security of the subscriber’s AA Bundle account, multiple log-ins are not allowed. Subscriber cannot share his username and password to others. 13. For questions regarding the Airborne Access service, subscribers shall contact Airborne Access After Sales through the following: a. By phone: (02) 633-WIFI (633-9434) b. SMS: ASK<space>AIRBORNE<space><MESSAGE> and send to 2968 *P2.50 Globe/Smart; P2.00 Sun 14. Use of the AA Bundle shall be governed by the Terms and Conditions of Airborne Access found in the following website: http://www.airborneaccess.net/services.agreement.htm 15. This AA Bundle is subject to the agreement between SBI and Airborne Access. SBI reserves the right to end the AA Bundle and terminate the AA Bundle service at any time even prior to the end of the Promo Period upon the termination of said agreement, for any reason whatsoever. 16. By applying for the AA Bundle, the subscriber agrees to these Terms and Conditions.
FOR S & D / AFTER SALES USE ONLY
Free MSF Program Availed
Program Availed
FREE MSF Make & Model Cellphone Others, pls specify:
ITEM: ____________________ Handset Cost
IMEI
Total Lock-in
Lock-in Period: (Start & End Date)
Total Lock-in
Lock-in Period: (Start & End Date)
AIRBORNE ACCESS
REMARKS
DOCUMENTS SUBMITTED
Submitted by: Signature over printed name
Agent Code
Dealer Code
Proof of Identification Financial Documents Equipment Certificate O.R. / C.I. / P.R. Delivery Receipt/s Proof of Address Others ________________ Documents validated by: _______________ Date: _______________