Time | Auto Debit

AUTO DEBIT

I want to subscribe my

Register to enjoy RM2 off your broadband/Internet subscription fee every month.

IMPORTANT NOTES

1.	You are advised to liaise with your issuing bank to ensure your card is enabled for Auto Debit facilities.
2.	Please note that we are unable to perform Card-Not-Present (CNP) transactions on HSBC and Standard Chartered Debit Cards. For more details, please contact your bank.

A. Customer Information

Full Name (as per MyKad/Passport)

Company Name (as per Business Registration Form)

Contact Person

MyKad/Passport Number

(do not include dashes or spaces)

Business Registration Number

(do not include dashes or spaces)

Phone Number

(Primary)

(Secondary)

Email Address

Time Account Number

B. Action

I would like to :

Please note there will be a RM 0 authentication charge that will be made to your card.

C. Declaration

I hereby declare that all the information and documents provided are true and valid. I have read and understood the contents of this form, and agree that by submitting this form, I shall be bound by the Terms and Conditions which accompany the subscription of Time's product(s) and/or Service(s).

I hereby consent to the collection, use and disclosure of my personal information in accordance with Time's Privacy Policy.