Easycall Web Starter Package
Personal Information
Name: Birthdate:
Sex: Male Female Civil Status: Single Married Other
Citizenship:  
Address:
Zip Code:  
Telephone Number: Cellphone Number:
Log-In and Security
Username must be unique and must contain a maximum eight (8) alphanumeric characters. To avoid duplication of usernames, it is important to fill three (3) choices from which one shall be chosen.
Usernames (3 choices):  
1st
2nd
3rd
Caller Line Identification

To protect you from unauthorized users, Easycall Internet requires Caller Line Identification (CLI) registration. Please indicate the incurred from numbers you will be using to dial up to the Internet. (maximum of 3)
       
I choose not to avail of this security and will be held liable for all charges incurred from unauthorized use of my account.
Your password should consist of at least six (6) alphanumeric characters (with at least one alphabetic & one numeric)
Technical Information
Preferred Template:
Preferred Domain Name:
Domain Name 1:
Domain Name 2:
Domain Name 3:
Preferred Email Address: (1 of 3 choices)
Email Address 1: @yourdomain.com
Email Address 2: @yourdomain.com
Email Address 3: @yourdomain.com
Other Information
Educational Attainment: High School College Others
Degree: Year Graduated:
Employment Status: Self-employed Government Private Retired
Employer/Business Name:
Business Address: Zip code:
Position/Profession:
Other communication device/s owned:
Cellphone Trunk Radio Fax Average monthly expenses for all:
Cable Subscriber? Yes No   If yes, please provide Cable Provider:
Internet Subscriber? Yes No   Name of ISP: E-mail:
Billing Preferences (All billings will be sent to my EasyCall e-mail address):
Monthly Quarterly Semi-annual Annual
Spouse Information
Name: Birthdate:
Position Profession: Telephone No.:
Employer/ Business Name:
Business Address: