To subscribe, fill up the online subscription form and our Customer Service Representative will contact you within one working day.

Salutation:	Mr Ms Mrs Mdm Dr
Name:
NRIC Number:
Date of Birth:
Contact Number (Home):
Contact Number (Mobile):
Address (For Billing):
Address (For Installation, If Different From Above):
Email Address
I wish to subscribe to the following broadcast service plan	24 Months Plan + 9 Months Bonus $385.20 ($11.67/mth) 12 Months Plan + 3 Months Bonus $192.60 ($12.84/mth) ULIVE Promo! 24 Months Plan + 12 Months Bonus $385.20 ($10.70/mth) ULIVE Promo! 12 Months Plan + 6 Months Bonus $192.60 ($10.70/mth) Credit Card Payments ONLY: Monthly subscription plan of $16.05 (min. 12 months)**
Payment Mode	Credit Card Cheque (Payable to REDIFFUSION PTE LTD)
	For Credit Card Payments ONLY: Name on Card: Card Number: Card Expiry Date: Card Type: Visa Mastercard By selecting Credit Card Payments ONLY, you are allowing Rediffusion to deduct all amounts on the instalment plan you chose.**
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**Note: With effect from 1 December 2009, we will introduce a monthly subscription plan of $16.05 (inclusive of GST). This plan is subject to a minimum contract period of 12 months and payment must be made by credit card.