platinum subscription form



Platinum Subscription Form

Subscribe now to Tri-Isys Platinum Plan and experience a whole new of unlimited internet access. Simply fill-up the form below and leave the rest to us.

 
 platinum starter - New!
Subscription Amount + E-VAT Free Months Total Amount Payment
1 Month P680.00 P68.00 0 P748.00 Advance
6 Months P4,080.00 P408.00 1 P4,488.00 Advance
12 Months P8,160.00 P816.00 3 P8,976.00 Advance
Note: In Platinum Plans, disconnection will automatically occur after every 4-5 hours continuous session, but you can reconnect easily. This gives the system a self-maintenance routine which enables the system to perform flawlessly.

Free E-Mail Boxes: 6 e-mail boxes (20MB each)
Free Web Hosting: 20 MB Web Space

 client information
First Name (Client) :
Middle Name :
Last Name :
Company Name :
(for corporate account)
Current Email :
Birth Date (mm-dd-yy) :
Gender :
Citizenship :
Civil Status :
Home/Company Address :
Billing Address :
(if different from above)
Contact Person :
Position :
Occupation :
Telephone Number :
Mobile / Pager :
Fax Number :

 internet information
Login Name (1) :
Login Name (2) :
Login Name (3) :
Login Name (4) :
Note :When creating a Login Name, please limit it to eight (8) characters long. No special characters and spaces.
Preferred Password :
Note :When creating your preferred password, please limit it to ten (10) characters long. No special characters and spaces.
Email Address (1) : @tri-isys.com
Email Address (2) : @tri-isys.com
Email Address (3) : @tri-isys.com
Email Address (4) : @tri-isys.com
Email Address (5) : @tri-isys.com
Email Address (6) : @tri-isys.com
Note :When creating a Username for your e-mail address, please limit it to eight (8) characters long. No special characters and spaces.
  • Use a login name that is easily identifiable to your name.
  • First character should be an alphabet.
  • Characters other than alphabet and numbers are not allowed.
  • You will be given a TEMPORARY PASSWORD to change it of your choice on-line.
  • Must change your temporary password WITHIN ONE (1) WEEK after registration.

 billing information
Mode of Subscription :
Plan Type :
Mode of Payment :

 secret information (required)
Secret Question :
Secret Answer :

 caller line identification (CLI) - required
In order to provide added security to your internet connection, Tri-Isys Internet would like you to register the phone number/s you use to dial-up to connect to the internet. Each time you dial-up, your username and password will be matched with the telephone number that you are using.
  • To apply, we only need your phone numbers (maximum of 3).
  • If you wish to change your registered numbers in the future, kindly contact us at 480-0777. Thank you.
Phone Number (1) :
(area code + telephone number)
Phone Number (2) :
(area code + telephone number)
Phone Number (3) :
(area code + telephone number)

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I agree to the Terms and Conditions.