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APPLICATION FORM FOR INTERNET SERVICES - SLT.LK

APPLICATION form FOR INTERNET SERVICES To be filled by the customer 1. (a) Full Name of the customer / Company (b) NIC / Passport /BR No. 2. Billing Address 3. (a) Contact Phone No. (b) Fax No. (c) Email Address .. @ / <**> Pls note that the given email address should be an email only or an INTERNET Main acct of the customer. 4. Type of APPLICATION (a) New APPLICATION (b) Existing Customers Existing User name : .. Existing Package / Service : .. 5. Type of Service Domain Name : .. Hosting DNS Virtual Mail Service INTERNET /Email Package.

APPLICATION FORM FOR INTERNET SERVICES To be filled by the customer 1. (a) Full Name of the customer / Company (b) NIC / Passport /BR No. 2.

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