Certiify Advance Service Contract Form (Plan 4)

Blockchain Certification Management Solution

Instructions for Certiify Advance Service Contract Form (Plan 4)

Select one of the following Service Contracts as a 1-year subscription:

Note: Please ensure all selections are accurate before submitting your order.

Attention! Please complete the form.

Required fields

PURCHASE DETAILS

Product	Quantity	Price (RM)
Service Contract (Plan 4)- Silver (8x5, Response Time: 4hours)
Service Contract (Plan 4)- Gold (8x5, Response Time: 2hours)
Service Contract (Plan 4)- Platinum (24x7, Immediate Response Time)
TOTAL

Name

Confirm Email

Mobile Number

Address

Postcode

City

State

Country

Company / Institution Name

Company Registration Number

Company Website

Payment Method

Perbankan Internet / Mesin Deposit Tunai

Holder	CERTIIFY SOLUTIONS (M) SDN BHD
Acc. No.	557380434144

Confirmation

I confirm that all the information I have provided above is true and I will be fully responsible if any of the information is found to be false.

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