Client Name*
Package* 512 Kbps (400.00 - 512 kbps) 1 Mbps (500.00 - 1 mbps) 1.5 Mbps (600.00 - 1.5 mbps) 2 Mbps (800.00 - 2 mbps) 3 Mbps (1100.00 - 3 mbps) 4 Mbps (1400.00 - 4 mbps) 5 Mbps (1500.00 - 5 mbps) 10 Mbps (2300.00 - 10 mbps) Combo 15 Mbps (800.00 - 15 Mbps) Combo 25 Mbps (1200.00 - 25 Mbps) 15 Mbps (3000.00 - 15 Mbps) Combo 10 Mbps (500.00 - 10 Mbps) Combo 20 Mbps (1000.00 - 20 Mbps) Combo 35 Mbps (1500.00 - 30 Mbps) Combo 12 Mbps (600.00 - 12 Mbps)
Type of Connectivity* Shared Dedicated
Payment Method* Cash from Home Cash Office bKash Rocket iPay Card Bank Corporate
Signup Fee
Cell No*
Alternative Cell No 1
Address
Occupation
Email
National ID
Previous ISP
Feedback
Image
NID Front Side
NID Back Side
Agree With Our Conditions Yes No