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IPStar Change Package Application Form
1. Subscriber Information
Personal Use
Business/Organizational Use
Title
*
Mr.
Miss
Mrs.
Other
Please specify
*
*
First Name
*
*
Last Name
*
*
Personal Identity
*
ID Card
Passport
*
*
Company Name/Organization
*
*
Business Certification No.
*
*
By (Authorized person)
*
First Name
*
Last Name
*
2. Type of Service
2.1 High Speed Internet
Home use
, Speed
- Please specify -
256 Kbps/128 Kbps
512 Kbps/256 Kbps
1 Mbps/512 Kbps
Corporate
, Speed
- Please specify -
256 Kbps/128 Kbps (5 Computers)
512 Kbps/256 Kbps (8 Computers)
1 Mbps/512 Kbps (10 Computers)
2 Mbps/1 Mbps (13 Computers)
Fix IP :
1 IP (200 ฿/month)
5 IP (800 ฿/month)
(Only for 512kbps or above)
2.2 Leased Line
, Speed
- Please specify -
64 Kbps/64 Kbps
128 Kbps/64 Kbps
128 Kbps/128 Kbps
192 Kbps/128 Kbps
192 Kbps/192 Kbps
256 Kbps/128 Kbps
256 Kbps/256 Kbps
384 Kbps/256 Kbps
384 Kbps/384 Kbps
512 Kbps/256 Kbps
512 Kbps/512 Kbps
768 Kbps/384 Kbps
768 Kbps/768 Kbps
1 Mbps/512 Kbps
1 Mbps/1 Mbps
1.5 Mbps/1 Mbps
1.5 Mbps/1.5 Mbps
2 Mbps/1 Mbps
2 Mbps/2 Mbps
4 Mbps/2 Mbps
Fix IP :
IP
Only for 512kbps or above
2.3 Telephone Line,
Number of phone line requested
Special Services
Call Transfer
Free Service
Conference Call
Call Waiting
Free Service
Outgoing Call Barring
PIN code 4 digits (0-9)
Others
Please specify
Refrain from disclosing names with respect to No. 1 in directory enquiry service(1133)
Refrain& from printing name with respect to No. 1 in the Phone Directory
3. Place of Installation
Nearby Phone No. (optional)
Nearby Area
*
Address
*
Amphur
*
Province
*
Kra-bee
Bangkok
Kanchanaburi
Kalasin
Kamphaeng Phet
Khon Kaen
Chanthaburi
Cha-Choeng-Sao
Chonburi
Chai Nat
Chai-Ya-Poom
Chum Porn
Chiang Rai
Chiang Mai
Trang
Trad
Tak
Nakornna-Yok
Nakornpathom
Nakornpanom
Nakornrajchasima
Nokornsithamaraj
Nokornsawan
Nonthaburi
Narathiwas
Nan
Buri-Ram
Pathumthani
Prajuab-Kirikhan
Prachinburi
Pattani
Ayudhaya
Pha Yao
Pang Nga
Pattalung
Phichit
Pitsasulok
Petchaburi
Peitchaboon
Phrae
Phuket
Mahasarakam
Mukdaharm
Mae Hong Son
Ya-So-Thorm
Yala
Roi-Ed
Ranong
Rayong
Rajchaburi
Lopburi
Lampang
Lamphun
Loey
Sri-saket
Sakonnakorn
Songkhla
Sa-Tool
Samutprakarn
Samutsongkram
Samutsakorn
Sakaew
Saraburi
Singburi
Sukhothai
Suphanburi
Surathani
Surin
Nongkai
Nong Bua-Lumpoo
Ang Thong
Amnatchareon
U-Dorn-thani
Udtaradit
U-thaithani
U-bon Ratchani
Zip Code
*
Responsible Customer Service Center
*
Select Branch
Intamara
Palian
Lerng Nokta
Hanka
Pibun Mangsaharn
Ban Chang
Surin
Ranod
Phan
Cha Uad
Ban Pong
Nakorn Chaisri
Ban Mo
Aou Thong
Wang Noi
Den Chai
Thonburi
Su Ngai Kolok
Ampawa
Chang Phuek
Sukhumvit 65
Kanchanaburi
Phuket
Tha Sala
Pak Panang
Krabi
On-Nut (Carrefour)
Saiburi
Phak Hai
Saraburi
Panom Sarakram
Khu Khan
Nongkhai
Bang Na
Bangphli
Inburi
Bangna (Imperial)
KaoYoi
Town in Town
Nonthaburi
Nakhon Ratchasima (The Mall)
Rayong
Donsak
Chumporn
Bangkruai
Bang Pakong
San Kampang
Bang Pa-in
Ubon Ratchathani
Phetchaboon
Paknampo
La Ngoo
Tern
Kang Kro
Ban Nasan
Bang Sapan
Muak Lek
Nakorn Pathom
Khok Katiam
Sri Samrong
Banna
Tha Sae
Suranaree Industrial Estate
Chaturat
Ladphrao
Khon Kaen
PakToh
Asoke-Din Daeng
Ratchaburi
Sungment
Tha Mai
Mae Rim
Kai Bang Rachan
Bang Len
Singha Nakorn
Prachuab Khiri Khan
Mae Sai
Amnartcharoen
Don Chadee
Tha Boa
Thong Phaphoom
Samut Songkram
Chom Thong
Ban Pe
Utumpornphisai
Warin Chamrab
Tha Yang
Nong Kae
Tak Bai
Tha Sai
Phimai
Sri Mahapho
Bang Wua
Nakorn Ratchasima
Dontum
Ang Thong
Chum Phae
Suphanburi
Damnoen Saduak
Ban Mee
Pattaya
Hua Sai
Chiang Kam
Salok Batr
Kantang
Songkhla
Prae
Nan
Uttaradit
Tak
Lad Bua Luang
San Sai
Chokchai
ThungHoTel
Kached
Udonthani
Kampangpetch
Nakorn Thai
Chang Klan
Prakonchai
Song Phi Nong
Ayutthaya
Mae Sariang
Chaiya
Sanambin
Pasang
Phon Thong
Tha Toom
Ban Phai
Kuiburi
Bangkhen
Bang Moon Nak
Lasal
Charansanitwong (Tesco Lotus)
Kratumbaen
Mahasarakam
Lang Suan
Kalasin
Dej Udom
Kampangsaen
Lopburi
Kok Samrong
Sirius Plaza
Ao Luk
Pakplee
Tha Rua
Satun
Phang
Koh Samui
Tan Yong Mas
Tha Tako
Lam Narai
Kantaralak
Hua Hin
Rue Soh
Na Yai Arm
Wang Thong
Phothisomporn
Ranong
Padang Bazarre
Prasat
Suratthani
Khon Kaen (Soon Rachakarn)
Dan Sai
ฺีBungkan
Loei
Aranya Pratet
Klong Ngae
Payuha Khiri
Mae Sod
Nakorn Sri Thammarat
Ban Klam
Nakorn Panom
Panas Nikom
Somdej
Chumsang
Tab Sakae
Takua Pa
Talang
Pran Kratai
Hua Mak
Kuan Kanun
Lad Yao
Wiangsa
Ban Phu
Phon
Had Yai
Sankaburi
Na Thawi
Satuk
Samutprakarn
That Panom
Chantaburi
Mae Hong Son
Photharam
Wiang Pa Pao
Kang Khoi
Tha Phra
Klong Toey
Pang Nga
Chiangmai (Airport Plaza)
Saraphi
Lom Sak
Pua
Bangkhae
Pichai
Narathiwat
Buriram
Chom Bueng
Vanarom Office
Rattaphum
Nong Ruea
Mab Tapud
Prachinburi
Ban Bueng
Phaholyothin
Ban Paew
Wang Sapoong
Songkla (Sanambin Had Yai)
Sawankalok
Bang Kla
Klung
Chiang Kan
Kuchi Narai
Chaiyaphruk Customer Services
Pattani
Sab Samoh TSab Samoh Tod Officeod
Mae Chan
Surat Thani
Lam Chabang
Chonburi
Namphong
Huay Yod
Yan Takao
Tamode
Cha-am
San Patong
Thoeng
Nakorn Nayok
Ram Kham Haeng
Na Mom
Yala
Thungmahamak
Pangkon
Phunphin Office
Pra Buddhabat
Bua Yai
Trad
Nakorn Luang
Nong Khaem
Kranuan
Pon Pisai
Wanon Niwas
Khok Pho
Chang Moi
Klong Khlung
Chiang Dao
Joh Ho
Ratburana
Nong Chang
Trakarn Puchphon
Pra-in Racha
Klang
Songkla (Dai Ana)
Taklee
Klong Yai
Meenburi
Yasothon
Phu Khaew
Nakorn Sawan
Lamphun
Suwannaphum
Ron Piboon
Sena
Trang
Bang San
Sawee
Nang Rong
Sukhothai
Phetchaburi
Bang Rakam
Pranburi
Dermbang Nangbuach
Soi Dao
Sattaheep
Wang Nam Yen
Sampran
Sri Racha
Hin Kong
Pak Chong
Pathumthani
Pattana Nikom
Pa Tong
Tha Maka
Pha Chee
Laksi
Chaiyapoom
Si Chon
Lampang
Chandee
Sri Chiang Mai
Payao
Khanom
Chiang Rai
Payaka Poompisai
Kumpawapee
Kraburi
Sawang Dandin
Sakaew
Pichit
Nam Pad
Don Muang
Pitsanulok
Tha Muang
Mae Ramad
Su Ngai Patee
Srithep
Tapan Hin
Nonsung
Uthaithani
ChaengWattana
Cha Choeng Sao
Tai Mueang
Singburi
Bang yai (Tesco Lotus)
phraram 2
Ban Takhun
Kabinburi
Ban Kai
Samut Sakorn
Wiang Sra
Sadao
Pattalung
Sri Satchanalai
Nong Phai
Nongbua Lampoo
Wiset Chaicharn
Lam Plaimas
Phunphin
Bangphlat
Ploenchit
Ekkachai
Chon Dan
Ban Amphur
Ramkamhaeng (The Mall3)
Kosum Pisai
Sakon Nakorn
Chumporn 2
Thungsong
Pak Thongchai
Sikhiu
Rim Nam
Chainat
Mukdaharn
Roi Et
Sri Saket
Betong
TOT (PATHUMWAN)
Surawong
Bangphli (Big C)
Songkhla (Carrfour)
Ngam Wongwan
Thanontok
Bangpoon
Ramintra
Ladkrabang
Samsen
Samranraj
Bang Na (Seri Center)
Phuket (Central)
Chalong
Selaphum
kohchang
Suvarnabhumi
Bangkok Government Center (Chaengwatthana)
TOTShop Suphan
DanChang
Rojana
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