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Contact us: 0935-959-9694(Globe) / 0939-796-3942(Smart)
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Retailer Registration Form
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FOR NEWLY REGISTERED RETAILERS
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Retailer Registration Form
Ready to start getting discounts on almost all kinds of pre-paid loads in the country? Please fill out the LoadCentral Retailer Registration Form below. Processing will depend on how many registrations on que. Usually it will not take more than 24 hours. Kindly please wait for the SMS confirmation and the email confirmation that contains your LoadCentral Retailer Registration details.
Complete Name
First
*
Last
*
MI
*
Complete Address
Street Address
*
City
*
State / Province / Region
*
Postal / Zip Code
*
Contact Details
Email
*
Contact Number
*
Number to be Registered as Retailer
*
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