Satellite Messaging Tracking Services


France Telecom Direct Billing Form

Please Complete the following questions: Fields marked with an asterisk * are required.
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Customer Details

Company Name:*
Address:*
Town/City:
State/Province:
Post/Zip Code:*
Country:
Contact Person:*
Telephone*	+ Country code: Area code: Telephone number:*
Facsmile	+ Country code: Area code: Facsimile number:
Email Address:*

Registration Details

Terminal Type:	Inmarsat-A Inmarsat-B Inmarsat-C Inmarsat mini-M
	Fleet 33 Fleet 55 Fleet 77 Others

	*Inmarsat Mobile Number (IMN)*	*Rate / Minute*
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Terms and Conditions

	1. Charges shall be at the rate prescribed by SMTS Pte Ltd and may fluctuate from time to time in accordance with company policy. 2. Payment terms is 30 days from date of invoice. 3. The customer will inform SMTS PTE LTD in writing 30 days prior to the termination of services. In the event of termination of the agreement, the customer shall be liable for charges up to and including the date of termination of the Agreement. 4. The below parties signing this agreement on behalf of the owner hereby assumes jointly and severally with the owner full liability for the obligations of the owner arising out of the agreement liability.

Date of Commencement:*	(dd-mm-yyyy)

Authorization (Please stamp and sign to confirm your registration)

1.	Ship Owner/ Ship Manager/ Agent Company
	Date:* (dd-mm-yyyy) Designation:*
	Name:*

	_____________________
	Signature/Company Stamp

2.	SMTS Pte Ltd
	Date: (dd-mm-yyyy) Designation:
	Name:

	_____________________


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Please complete this form and send it by fax/ email to us at +65 6224 5581/ info@smtspl.com. You will receive a notification once the registration has been completed. Please do not hesitate to contact us if you need any further information.