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Name:

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YOUR NAME/COMPANY NAME:

Company Have VAT/TaxID?:

NOC/Billing/Support Email Address:

YOUR CONTACT PHONE NUMBER: (use the format 000-000-0000):

Your Website (if any):

Routes Service Requesting:

Read Agreement Document using the URL Links then Check All Three:

http://www.gtivoip.com/customer_services_agreement.htm

http://www.gtivoip.com/Esign-Disclosures-Consent.htm

USERNAME: (8 letters/digits if leave blank we will use phone number):

YOUR WEBSITE ADDRESS?:

MY PAYMENT OPTION/TYPE (select how you are going to pay, Order will not be process until payment has been received, use link to process credit card payment or send payment to us using your PayPal account.):

Accept Terms Of Service:

I have read & accept terms of services

I have read & accept terms, Send me a copy

I have read & accept the rules of the FCC

AGREEMENTS (check all boxes):

I have read and agree to the Electronic Signing

I have read and agree to the Terms of Service Agreement

I have agree and accepted all Payment Terms

I have read, understand and agree to the Rules of the USA FCC regarding Robo Calling and Fraud Calls.

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