title-ordering.gif (2997 bytes)

Please complete this form and click on the SEND ORDER button. Your order will be processed automatically by our transaction server and you will receive your WELCOME by email. Fields marked with an * are required.
 
If you are a WWT Distributor, enter your Dist. ID:  
If referred by a WWT customer, the referring NAC:  
Where did you hear about us?: *
CONTACT INFORMATION:

Name required on monthly statement:

 *

Street Address:

 *

City:

 *

State or Province:

  

Country:

 *

ZIP or Postal Code:

  

Office Telephone No. (include country & city codes):

 *

Home Telephone No. (include country & city codes):

 *

Email Address:

 *
SERVICE INFORMATION:
List the telephone, mobile phone, or fax numbers that you will be calling from. (country code + city code + local number and approximate monthly use).
Required usage of $4.95/line/month. Additional charge incurred below $4.95.
 
Telephone No:*     US$:
Telephone No:       US$:
Telephone No:       US$:
Telephone No:       US$:

Preferred language for system messages:

  

Gold Card for use when you visit the USA?:

 

Follow Me feature when traveling?:

  

Enter a 4-digit PIN of your choice :* 

    Make a note of this PIN. For security reasons it will not be mailed to you.
     
PAYMENT OPTION:
 
1. Credit Card Account:
I authorize my monthly bills to be charged to my credit card below and I understand that there is no need for me to mail payment. This authorization will remain in effect until World Wide Telecom receives written notification from me to cancel. It is my responsibility to inform World Wide Telecom of any future changes to my card information such as change of card number or expiration date.
 
Card Type:  
Cardholder's Name:  
Card Number:  
Expiration Date: (MMYY):  
Name of card issuing bank:  
Customer service tel. no. on back of card:  
Address where you receive your card statement:  

City:

  

State or Province:

  

ZIP or Postal Code:

  

Country:

  

Tel No. at above address:

  
 

2. Secured Invoice Account:
You can purchase the estimated amount of service with a starting deposit. When you receive your monthly statement each month, you should remit the exact amount on the statement. If you use more than the deposit on hand during any month, the service will stop automatically and an "insufficient Funds" announcement will be provided the next time you attempt to use the service. It is recommended that you start with a deposit that is twice the estimated monthly usage to allow for mail time and to avoid service disruptions. Minimum starting deposit for a new account is $50. Balances are non-refundable and must be consumed. Please note that we can only accept payment in US Dollar funds.
 
To pay by wire transfer:
 We will email you instructions on where to send the wire transfer.		   To pay by Western Union:
Go to a WU location in your city.
Fill out the BLUE QUICK PAY FORM
Pay To:        World Wide Telecom LLC
Locale/City:  WWT, VA
Reference:    (NAC if existing A/C)
 

To Pay by mail:
Send a US$ Bank Check or International Money Order to:
World Wide Telecom
P.O. Box 541006, Merritt Island, Florida 32954-1006, USA. 

 

Any comments or special instructions?
 

Agreement: By clicking on the SEND ORDER button below, I hereby state that all the information provided above is true and complete and is provided to obtain International Telephone Service from World Wide Telecom. I accept that it is my responsibility to keep my Access and PIN numbers confidential, to promptly inform World Wide Telecom of any changes in the above information, and to pay for all calls billed. Rates are subject to change without notice. By using this service I agree that World Wide Telecom will not be held responsible in any way.