MTN Nigeria ::: Products & Services :: Customer Agreement Form

Untitled Document

Home / Products & Services / Customer Agreement

Fleet Tracking Services

Untitled Document

Kindly fill the form by entering your details and click on submit. You will be presented with a form which you will print out.

For individual form, click: Individual form

Note: All fields marked * are Compulsory.

Corporate/SME Details

Acct No or Existing MTN acct Number:
Package:	*
Company Name :	*
RC Registration No :	*
Type of Industry/sector:	*
VAT Reg No:	*
No. of Employees:	*

Registered Address

Street Name:	*
City/Town:	*
state:	*
Work Tel :	*
Fax	*
E-mail:	*

Billing Address(if different from Residential Address)

Company Name
Street Name:
City/Town
State:
work Telephone:
E-mail:

Contact details of financial contact

Name
Tele No
Fax
ID No.
E-mail

Multiple Application

No. of Sim

Payment Option

Cash
Cheque
Direct Debit
E-payment

Document Attached

Prof of ID
ID of account Administrator
Letter of Authority
Utility Bill
Last 3 months bank statement

Bill Delivery option

E-mail:
Courier:

Value Added service

E-care
Roaming
Fax and Data
MTN Directory Enquiries
Itemised Billing:
Others:

I/we have read, understand and agree to be bound by the terms and conditions printed overleaf and declare that the information given is true and correct.