CUSTOMER NAME
ADDRESS
OUTBOUND IP
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DIALING PREFIX
Primary Contact Information
FIRST NAME
LAST NAME
POSITION
EMAIL
CHAT SERVICE
-- SELECT --
Yahoo Messenger
GTalk
Skype
Windows Live Messenger
MSN
CHAT ID
LANDLINE
-- SELECT --
1 - USA/Canada
44 - U.K.
63 - Philippines
880 - Bangladesh
91 - INDIA
MOBILE
-- SELECT --
1 - USA/Canada
44 - U.K.
63 - Philippines
880 - Bangladesh
91 - INDIA
FAX
-- SELECT --
1 - USA/Canada
44 - U.K.
63 - Philippines
880 - Bangladesh
91 - INDIA
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