Customer Information Sheet
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I agree to the collection and use of personal information through this survey by eTap for the purpose of application processing and shall be made in accordance with the Data Privacy Act of 2012 *
Are you a PayMaya Negosyo Agent? * *
How much is your total Top-Ups per month? *
Where is your store? *
What's the best signal for your location? *
Do you have business license *
Full Name *
Business Name *
Contact Number *
Please type your correct mobile number so we can call you for validation
Email *
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