World Access - Online Register
*Applicant Information
 
*First Name:
*Last Name:
*Salutation: Mr.   Mrs.   Ms.  
*Contact Number: - -
*Billing Address:
*City:
*Province:
*Postal Code:
*Date of Birth: - - (DD/MM/YY)
E-mail Address:
Current Long Distance Co.:
Call Country:
Average Monthly Usage:
 
 
*Telephone No. Register for World Access Service
 
*List of
Telephone Number(s)		 Type of Phone
1. - - Land Line Cell Phone   Provider:
2. - - Land Line Cell Phone   Provider:
3. - - Land Line Cell Phone   Provider:
4. - - Land Line Cell Phone   Provider:
 
Rate Plan:   Require Pin
 
 
*Choose Your Billing Option

E-Billing     E-mail Address:

By Post
 
*Choose Your Payment Method
 
Monthly Invoice
Credit Card Payment Print Authorization Form (27KB)
*Please print the payment authorization form, then fax or mail to us.
 
Bank Pre-authorized Payment Print Authorization Form (27KB)
*Please print the payment authorization form, then fax or mail to us.

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Marketing Survey
 
        How do you know World-Link?
Sales Agent called Sales ID
Referral Friend's Phone No. - -
Flyer
TV
Newspaper
Word of Mouth
Internet Chatroom
Other
 
 
*Customer Authorization
 
* Yes, I fully understand the Dialing Instructions and agree to World-Link's Terms and Conditions. I authorize World-Link to charge my credit card for any outstanding payment that is overdue. I authorize World-Link to obtain or exchange personal information with any agent towards establishing or verifying my credit.

World Access Service will be provided to you under the World-Link Communications Inc. (World-Link) Services Terms and Conditions and amendments thereto as World-Link may stipulate from time to time. These Terms and Conditions cover, for example, World-Link's service commitments, limitations on liability, your responsibility for payments and how to pay. For questions, please contact Customer Service. Please note that acceptance of this order is subject to credit approval. Terms net 25 days, late charge 1.5% / month.