You are on page 1of 1

PLDT No.

: 123456
FOR RESIDENTI AL USE
C U STO M E R I NF OR M AT I ON SH E
ET S. O. NO.

rzi=vv ar•r• ica+io rz cHarzcs i= or


RHHIP / DATE ACCOU h/T No.
POST PAID (R esi dential)
P RE PA ID (Telesu lit)
(Letter D equestmustoesuomlneo
GUSTOME R No. TE LEP HOh/E h/o.
oytMe cuventsuoscmoe on eooo.)

BleT+OAT2(NJornM Oay Yea’) box SlVlL °//ATL5 A OR rJo. (or let el g ne


si
v r angle vimeo DMe s mII pt no Otn er s
lO2 JTIHIOATIO J OASO PS252 JT2O(my o{iMe {Oloxmg)

Orl ver's Mcen se loo. OJr rent pm y I O rJo.


Pag-log loo.
°senlor Ogzen IO rJo.

e I LU rJCs AOORE°s°s (II of dler ent tr cm tne aoove aoo re ss

Ovvneo. mnteo out


Yes
Owneo. rotVortgageo
Ten ant
Ovvneo. Vogmgeo

to you or aPi° vvMe e oo you accessmnelnm net° Oo ycxJ use Iong of stance ser vlces vvnat aa ycxJ use to Ty pe of I g of st ence
Yes rJo +Ovl=- li m Mome. vwno Issue your l5P/s° Yes Pro cellongolstnmce* cols*
I{YE£. vV|nmooem° n Yl=u. gense cMeck
Yes ro internet C:are Ocnnestlc rJOO OverseesñOO eusness

v\soul a you IIk e to a tern atl cv I y en a ge your m tnl y P LOT a II to ycxJi ci e of t c a a cccxlnt

rJAve(most rest wmooe xacne)


B I FTF FJ0 AT E ( MO IN /O ay /Ye ?' M0 MT FJ LY I IdSOME

SUBSCRIBER's COPY

You might also like