SIGNUP FORM
EXCLUSIVE for PGH Covid-19 Frontliners

Complete Name (required)

Complete Address (required)

Mobile Number (to Register)

Contact Number(required)

Email Address(required)

Nominated Alternate Contact Person
 

Complete Name (required)

Contact Number (required)

Relationship to FL (required)

Valid ID (PGH/Company ID)

VALID ID of Alternate Contact Person/Account Holder (VALID ID - government issued ID)

TERMS AND CONDITIONS

The RETAILER ("Account Holder") hereby agrees not to use the LoadCentral account to bypass telecommunications network (SMART, Talk 'N Text, Red Mobile, Globe, Touch Mobile, Sun Cellular), their billing and/or their designed traffic routing or for prohibited services like Callback, Dial Back unauthorized Audio Text, International and National Simple Resale (ISR/NSR), International SMS Bypass (ISB) and other similar services and/or for any activity that is contrary to morals and public policy or which violates any ordinance, law, decree, order, regulation or treaty. UNIWIZ reserves the right to terminate the account in the event that the Account Holder is found to have violated any of the aforementioned.

The LoadCentral account made and created may not be represented, transferred nor sold by and to any other party aside from the RETAILER unless otherwise approved by UNIWIZ.

The LoadCentral account made and created is prefunded with 150.00 LoadCentral Wallet credits for account holder’s usage and free of charge

I agree and understand LoadCentral Data Privacy Policy