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DEALERSHIP AFFILIATION

Fill in the fields to apply for affiliation or you can also print out the form's printer-friendly version, fill it out and send it to us.
Customer ID
Customer Type
Company Name/Agent Name/Reseller
Years in Operation
Contact Person/Email Address
Position
Address
Web Address (if any)
Contact Number(s)
Pricing Level

Discount Rate
Payment Terms
Other Instructions (please specify)
Required Documents
  • Business Registration
  • Business Permit
  • SEC / BY LAWS, if Corporation
  • Secretary's Certificate to Sell BLAST prepaid Card
  • Bank(s) Reference
  • Signed Reseller Agreement


 


Information as basis for this site may change without prior notice.
For further inquiries, e-mail us at help@blast.ph.

United Network Access, Inc.
4/F, Victoria 1 Building
1670 Quezon Avenue, Quezon City