Broadband - Perintis Beta Group Of Companies

1. CHECK YOUR BROADBAND COVERAGE (CLICK HERE)
2. CHECK YOUR BROADBAND PACKAGE (CLICK HERE)

Internet Broadband Order Form

Applicant Name *

First

Last

Company Name (if applicable) *

Phone Number *

Agent ID *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Type Of Product *

Package *

Astro Account Number (If Applicable) *

Astro Package (If Applicable) *

Upload File (IC) (For Agent Only) *

Max file size: 20MB

Upload File (Form 1) (For Agent Only) *

Max file size: 20MB

Upload File (Form 2) (For Agent Only) *

Max file size: 20MB

Submit

Please read carefully!!!

* No Installation fee's unless required by TELCO and SERVICE PROVIDER (AGENT cannot collect any payment from customer, all payment must be made under name of "Perintis Beta Sdn Bhd Account number: 242-201-200410-6 Ambank Berhad") (Please provide your "PAYMENT SLIP" for registration process) (if installation fee's required by TELCO and SERVICE PROVIDER ONLY)
* Pay As what u see in TELCO and SERVICE PROVIDER Package, Term and Condition. No additional charges.
* All Payment must be made to TELCO and SERVICE PROVIDER for monthly commitment ( No payment made to our agent or company for monthly commitment, all payment MUST be made to TELCO or SERVICE PROVIDER ONLY)
* U will received your monthly charges bill from your email and installation address provided
* Perintis Beta TEAM just assist and provide registration services only. Any Technical or Billing enquiry please contact your TELCO and SERVICE PROVIDER
* Any complaint or enquiry regarding registration please email (click here) or contact +603-64129948

Questions? Feedback? var _gaq = _gaq || []; _gaq.push(['_setAccount', 'UA-7870337-1']); _gaq.push(['_setDomainName', 'none']); _gaq.push(['_setAllowLinker', true]); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); _W.Analytics = _W.Analytics || {'trackers': {}}; _W.Analytics.trackers.wGA = '_gaq'; ;(function(p,l,o,w,i,n,g){if(!p[i]){p.GlobalSnowplowNamespace=p.GlobalSnowplowNamespace||[]; p.GlobalSnowplowNamespace.push(i);p[i]=function(){(p[i].q=p[i].q||[]).push(arguments) };p[i].q=p[i].q||[];n=l.createElement(o);g=l.getElementsByTagName(o)[0];n.async=1; n.src=w;g.parentNode.insertBefore(n,g)}}(window,document,'script','//cdn2.editmysite.com/js/wsnbn/snowday262.js','snowday')); var r = [99, 104, 101, 99, 107, 111, 117, 116, 46, 40, 119, 101, 101, 98, 108, 121, 124, 101, 100, 105, 116, 109, 121, 115, 105, 116, 101, 41, 46, 99, 111, 109]; var snPlObR = function(arr) { var s = ''; for (var i = 0 ; i < arr.length ; i++){ s = s + String.fromCharCode(arr[i]); } return s; }; var s = snPlObR(r); var regEx = new RegExp(s); _W.Analytics = _W.Analytics || {'trackers': {}}; _W.Analytics.trackers.wSP = 'snowday'; _W.Analytics.user_id = '9562894'; _W.Analytics.site_id = '498230788645951127'; (function(app_id, ec_hostname, discover_root_domain) { var track = window[_W.Analytics.trackers.wSP]; if (!track) return; track('newTracker', app_id, ec_hostname, { appId: app_id, post: true, platform: 'web', discoverRootDomain: discover_root_domain, cookieName: '_snow_', contexts: { webPage: true, performanceTiming: true, gaCookies: true }, crossDomainLinker: function (linkElement) { return regEx.test(linkElement.href); } }); track('trackPageView', _W.Analytics.user_id+':'+_W.Analytics.site_id); track('crossDomainLinker', function (linkElement) { return regEx.test(linkElement.href); }); })( '_wn', 'ec.editmysite.com', true ); var _qevents = _qevents || []; (function() { var elem = document.createElement('script'); elem.src = "https://secure.quantserve.com/quant.js"; elem.async = true; elem.type = "text/javascript"; var scpt = document.getElementsByTagName('script')[0]; scpt.parentNode.insertBefore(elem, scpt); })(); _qevents.push({ qacct:"p-0dYLvhSGGqUWo", labels:"l10,u9562894.u9562894s498230788645951127" }); <div style="display:none;"> <img src="//pixel.quantserve.com/pixel/p-0dYLvhSGGqUWo.gif?labels=l10,u9562894.u9562894s498230788645951127" border="0" height="1" width="1" alt="Quantcast"/> </div>