FUTURE - Enquires

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Callback Service Activation Form

A

Details of member who submits this form:

1

SCPlus Account / Card Number:

Compulsory ( 8 digit fields )

2

Password/PIN :

Compulsory

3

Name :

Compulsory

4

Contact No :

Compulsory

5

Email :

( for acknowledgement )

B1

Callback Services:

Please ACTIVATE & REGISTER Handphone / fixedline no(s)

1.

2.

3.

4.

( Optional ) Value and Payment

Top Up Value ( Minimum S$10 and multiple of 10 ) :S$ and on

Remarks

C

Before You Press the Submit Button

.

1) By submitting this form, I hereby confirm that all information given is true and correct. I also undertake to comply with all latest terms and conditions imposed by Futuretel whenever applicable

2) I also accept that my submission will be subject to Futuretel approval and will be processed by Futuretel without any commitment on completion date and I shall not hold Futuretel liable for any consequences as a result of delay in processing