World Access Communications - Wireless Sign-Up

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World Access Communications, Inc.
1209 W. Tokay St.
Suite #11
Lodi, CA 95240
866-DIAL-WAC (342-5922) - 24/7
info@corp.wac.com

Sign-Up for Wireless Access with World Access Communications!
Provided that you have agreed to the terms and conditions of being a World Access Communications Family Member, simply fill out the form below to initiate the process.

Wireless Sign-Up Form
"*" denotes a require form field.

GENERAL INFORMATION
Company:
*Name:
*Address:
*City:
*State:
*Zip Code:
*E-mail Address:
*Daytime Phone:	(please include your area code)
*Evening Phone:	(please include your area code)
ACCOUNT INFORMATION
When selecting a username and password, you are required to use between 3 and 8 characters. A combination of letters and numbers can be used. You are required to select an alternative username should your first choice already be in use. In the rare event that both username selections are unavailable, a World Access Communications Account Specialist will work with you to select one! Also, be sure to keep this information in a safe and secure place for your future reference!
*Email Address (1st choice)
*Alternate Email (2nd choice)
*Password:
*2nd Email Address
*Alternate 2nd Email
*2nd Password:
*How did you find us?
Note: If you selected "other" please indicate the person or collateral responsible for your referral
SYSTEM INFORMATION
*Number of Computers:
*Computer Type:
*Operating System:
*Network?	Yes No

That's it! Please verify that all information entered is correct and press "Submit". A World Access Communications Account Technician will promptly contact you to make final arrangements which will allow the activation of your account! If you have any questions, please feel free to direct them to info@corp.wac.com