1. I hereby declare that I wish to subscribe for the Services provided by Maxis Broadband Sdn. Bhd.
2. That the above information provided is true and correct.
3. That I have read and agree to be bound by the following contract terms and all other Terms & Conditions printed and/or attached hereto and any amendments made thereto.
4. That I hereby consent to the collection and processing of my personal information in accordance with the Maxis Privacy Statement.
5. That I agree to allow the authorized installers to install the service at my home or premise.

*Note: Should you require non-standard installation, you will need to bear the additional charges. For table rates, click here and then scroll down to ‘Frequently Asked Questions’ section and click on the ‘Installation’ tab. Maxis reserves the right to impose a cancellation fee of RM200 should the installation be cancelled by the customer within 3 days of the confirmed installation date.