VMobileMe Application Form
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APPLICATION FORM
Applicant’s Details:
Full Name:
Date of Birth:
E-mail Address:
UAE contact No.:
Php Cell No.:
Package Type
Technopreneur Package >>>>> Amount: Php 3,988.00
3D Fast Track Package >>>>> Amount: Php 11,964.00
Gold Package (7 Packs) >>>>> Amount: Php 27,916.00
Sponsor’s Name:
Sponsor’s ID No:
Team Position Name:
Team Position ID No.:
Placement: A BB
Receiver’s Contact Details
Full Name:
Contact Number:
Address:
1906 Galleria Corporate Center, EDSA corner Ortigas Avenue, Quezon city, Philippines
Tel: +63 2 3113000 – Fax: +63 2 7063818 – Website://www.loadxtreme.ph
Please Contact Raffi - +971-55-5569217, Ferdima - +971-50-9636572
TEAM
Visit our Group Website: http://www.vmobileme.com