Autosweep Rfid Subscription Agreement
Autosweep Rfid Subscription Agreement
Autosweep Rfid Subscription Agreement
PERSONAL ACCOUNT
SUBSCRIBER'S INFORMATION
PLEASE ATTACH THE FF.
ENROLLMENT TYPE* One (1) Account PER Vehicle One (1) Account for ALL Vehicles DOCUMENTS:
1. Photocopy of one (1)
TITLE Mr. Ms. Mrs. Others (Pls. specify) ________ valid ID (bearing photo and
FIRST NAME* signature of the Subscriber)
2. Photocopy of the OR &
MIDDLE NAME* CR of the vehicle/s
LAST NAME*
NOTE:
TIN If the vehicle is not under
CONTACT NUMBER/S* the name of subscriber:
Primary* 1. Authorization letter from
the registered owner or
Secondary notarized copy of the deed
of sale of the vehicle.
ADDRESS/ES 2. Photocopy of one (1)
Primary* valid ID of the registered
owner (bearing photo and
Secondary signature of the registered
owner)
EMAIL ADDRESS*
( to which Statement of Account will be sent)
I hereby certify that the information provided above in this Autosweep RFID Subscription Agreement is true, correct and complete. I voluntarily disclose my
personal information for the fulfillment of this Agreement. I understand that any false, misleading, incorrect or withheld information may cause the
disapproval of this application or termination of my Autosweep RFID Subscription.
I have read and clearly understood the above terms and conditions, and I understand and agree that these terms and conditions are applicable to all
Autosweep RFID Account/s registered under my name. I freely and voluntarily agree to be bound by this Agreement.
I am allowing IETC to further process my personal information for purposes of offering marketing promotions from its partners, affiliates, and subsidiaries.
__________________________________________________ _____________
Signature over Printed Name of the Subscriber Date