UltraBand Register Form Step 1 of 3 33% Do we cover your Residence?*Select your residenceM-City Modern DuplexKojaya CondominumD'suria CondominiumPermai Puteri ApartmentPermai Seri ApartmentPermai Court 1 ApartmentPermai Court 2 ApartmentPackage*50Mbps - RM100 Monthly100Mbps - RM150 Monthly200Mbps - RM200 MonthlyBlockLevel*Unit* Name* First Last Email* Phone*Passport/IC Front*IC BackUsername*Password* Consent* I agree to the privacy policy.- The contract is for 24 months. - The deposit is not refundable within 2 years. - The deposit will refund back within 90 days after collected back the devices. - The customer must provide 30 days' notice prior to termination of the contract. Total RM 0.00 Choose Your Payment Method*Debet CardCredit CardCredit Card* American ExpressDiscoverMasterCardVisaJCBMaestro Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name
