和記環球電訊住宅寬頻服務計劃登記表格
Hutchison Global Communications Residential Broadband
Service Application Form

姓名(英文):
Name in English:
Surname: Given name:
姓名(中文):
Name in Chinese:
姓: 名:
性別:
Sex:
男 Male 女 Female
香港身份證號碼:
HKID Card Number:
聯絡電話:
Contact Number:
電郵地址:
E-mail Address:
安裝地址:
Installation Address:
室:
Flat/Room:
層數:
Floor:
座數或期數:
Block or Phase:
大廈名稱/街道:
Building Name/ Street Name:
屋苑名稱:
Estate Name:
地區:
District/Region:

本人接受並同意選用和記環球電訊住宅寬頻服務計劃
I agree to subscribe to Hutchison Global Communications Residential Broadband Service