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P.O. BOX 13034
Port Everglades, FL 33316 USA
Toll Free 1-800-732-6367
Phone: (954) 467-7330
Fax: (954) 766-2699


Registered with:


iGive.com

 
 
 

Phone Card Order Form

 
PRODUCTS
QUANTITY
My Approved Agent Name is :
UnitedSea™ International
Pre-activated $5 Cards
Pre-activated $10 Cards
 
Seafarers' Mission International
Pre-activated $5 Cards
Pre-activated $5 Cards
 
Promotional Materials - FREE posters, rate sheets, etc.
 

      
Contact Information

Name

Organization
Address
Phone
Fax
Email
 
Conditions Governing Phone Card Distribution


PLEASE NOTE:
 Before submitting this form, please read the following terms and conditions. Seafarers' House distributes pre-paid telephone debit cards (hereafter referred to as "Phone Cards"). We supply pre-activated phone cards to agents who have ordered a specific quantity and are responsible for payment of these pre-activated phone cardstock within 21 days of our shipment, after which late charges will apply.

I have read and agree to abide by the stated terms and conditions, upon approval of this Agent Application.



* Please fill out the form above and submit to Seafarers' House to process your order.
  You may also print this form and fax your request to (954) 766-2699
For questions
  regarding the ordering process, please contact us at:

 Seafarers' House - Casa Del Marino
 1800 S.E. 32nd Street
 Port Everglades, FL  33316
 Phone: (954) 467-7330
 Fax: (954) 766-2699
 Toll Free: 1-800-732-6367
 Email: info@seafarershouse.org