Please enter this information only AFTER you've purchased and received the Yahclick
System from Wafa
*
Serial.No
WB Invoice
Dish Size
-- Please select --
74cm
98cm
Modem
-- Please select --
9260
9460
Package
-- Please select --
Home 1Mbps
Home 2Mbps
Home 4Mbps
Home 7Mbps
Home 10Mbps
Business 1 Mbps
Business 2 Mbps
Business 3 Mbps
Business 10 Mbps
Business 15 Mbps
Home 512 Unlimited
Business 1 Unlimited
Insure 2
Insure 5
Insure 15
*
Length of cable (in Meter)
*
Latitude
Latitude Hemisphere
-- Please select --
North
South
*
Longitude
Longitude Hemisphere
-- Please select --
East
West
Date of Install
*
Name
*
E-mail
Address
*
Phone Number
Country of Installation
-- Please select --
Same as country of operation
Abkhazia
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
The Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland, Republic of
Israel
Italy
Jamaica
Japan
Jordan
Juba - South Sudan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Cyprus
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Sahara
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan (ROC)
Tajikistan
Tanzania
Thailand
Togo
Tonga
Transnistria
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
End User Email Address
Comments
By Submitting this form I/We accept all the Terms and Conditions on the Invoice and as per
Standard Terms and Conditions