Philippine-based Account Application


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Philippine-based Account Application

Now you are just a few steps away from having your own US address that you can use for worldwide internet shopping. This is a priviledge and bear with us to take the necessary precautions to protect you and the worldwide web community by asking you to email us 2 sets of government issued Identification cards after submitting this form.

Applicant's Name

Email Address

Home Phone

area code

phone number

Work Phone

area code

phone number

Mobile Phone

Date of Birth
(should be 21yrs old and above)

Month	Day	Year

Billing Address

Delivery Address

Note: Billing address should be the same as the billing address of your credit card. VIP Members must submit credit card authorization form authorizing Manila Forwarder to charge their credit card $10 month as membership fee and the incurred shipping charges.

VIP or Pay per Ship Program

Average Shipment per month

Remarks

Please allow 24-hours to receive your reply after sending 2 Goverment-Issued ID.

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