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IFONE Number Registration

Customer Information
Family Name:
 Given Name:
Gender:
Company Name:
 Office Tel:
 Personal Use
Company Use
E-mail:
 Mobile Number:
Address:
To be provided separately
Identification Card (ID) Passport and Company Registration Certificate (for Company Account)

Requested iFone Number(s):

No. iFONE Number
(08)12-345-678		 Password No. iFONE Number Password
1   6  
2   7  
3   8  
4   9  
5   10  

ADDITIONAL Fixed iFone Requirement

Description Qty
IP Address: MAC: Serial:
Detailed information of Fixed iFone, refer to Receipt No
Terms & Conditions:
  • Across Network Calls will be charged based on iFone Tariff Plan.
  • Under no circumstances will iFone, MekongNet, its subsidiaries and affiliates be responsible for any kind of actions either direct or indirect resulting from illegal usage of our iFone Numbers and Services.
  • iFone, its subsidiaries and affiliates reserve the right to change the terms & conditions and calls tariff without prior notice

For MekongNet Use Only:

Sales Department Customer Services Department
Application Date:
 Customer iFone ID:
 Service Effective Date:
Prepared by:
 Equipment Issued by:
 Checked & Approved by:
 
By signing below, CUSTOMER hereby accepts purchasing and subscribing with the above details and obeys the terms & conditions.
 
 

CUSTOMER

 

 

 

 

______________________
Authorized Signature

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Date:
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