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Frequently asked questions     

 
  Internet & Value Added Services Order/Sign up Form

Thank you for choosing ITClick. Please take some time to fill and click on "submit" to send this form by email. Service will be activated subject to the verification process and provisions outlined in ITClick Terms of Service (TOS). You will be sent a hard copy of this form and you are required to sign and return prior to activation.		  
     
  Service Requirement  
  Mode of Identification  
  Title  
  First Name  
  Middle Name  
  Last Name  
       
  GSM Phone  
  Other Phone  
  Email address  
       
  For personal/Individual customers, we are mandated by EFCC to collect passport photos, photocopies of either Driver's license or International passport and utility bills.
 		  
  Personal Contact Information & Billing Address:  
       
  Passport    
       
  Address  
  City  
  State  
  Install CPE at same address above? Yes No  
       
  Access information    
 
User ID MUST be in lower case, no spaces, no punctuation and 12 characters max. Password will be automatically generated and sent to the email address specified above. You can change your password afterwards. Ensure you provide accurate email address as login details will be sent to this address		  
       
  User ID    
  How did you hear about us? Referrer ID  
  Select Product  
  What Date Shall we install
your CPE		  
  What Date should we activate your account?  
  When My Service Expires  
       
  Public IP Address requirements    
  (Only for Organization: 5 or more Public IP address requires completion of `IPAddress Justification Form' and subsequent ITClick approval)  
       
  Static Public IP Addresses  
       
  CPE Delivery and Installation Address:    
  You specified that CPE will be installed at a location different from the address you specified on page 1.Please indicate where CPE will be installed and service delivered  
       
  By Checking "I Accept" below, I/We hereby elect to subscribe to ITClick services and have read, understand, andagree to be bound by ITClick's Terms of Service (TOS) and Acceptable Use Policy (AUP).  
       
  I Accept    
       
 

       

        
       
     
     

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