Samsung Galaxy Z Flip4 & Z Fold4 5G Application

Thank you for your interest in availing a Globe Postpaid Mobile Plan. Please fill in your contact details below, and we’ll notify you via email as soon as your preferred device is available.


For renewal reservation, fill out this form to pre-order.


Preferred Plan *

Device Model in Mind *

Shipping Method *

Mode of Payment *

Trade-In, Trade-Up (TITU) Receipt

The file must be in .JPG format and 1 MB max

I want to receive my bill through: *

PERSONAL INFORMATION

Please provide your date of birth in this format: mm/dd/yyyy

Civil Status *

Gender *

Proof of Identification Type *

Proof of Identification (Front) *

The file must be in .JPG format and 1 MB max

Proof of Identification (Back) *

The file must be in .JPG format and 1 MB max

Proof of Financial Capacity *

Proof of Financial Capacity (Front) *

The file must be in .JPG format and 1 MB max

Proof of Financial Capacity (Back) *

The file must be in .JPG format and 1 MB max

CONTACT INFORMATION

Please follow this format: House/Floor No., Street Name, Village/Subdivision, Barangay/Town, City/Municipality, Province, Region, Country, Zip Code

AUTHORIZED REPRESENTATIVE INFORMATION

Please fill this out if anyone other than the account holder will receive the order.

Please provide your date of birth in this format: mm/dd/yyyy

Valid ID of Representative

The file must be in .JPG, .PMG, or .PDF format and 1 MB max only.


Reminders:


  1. Your plan application request is still subject to verification and approval.
  2. All approved orders submitted during the pre-order period are entitled to freebies/discount.
  3. We’ll confirm your order via SMS and/or email address once the device becomes available.
  4. For multiple reservations made under the same application details, only the most recent submission will be considered.
  5. All order details upon submission will be considered FINAL, and will be the basis of the verification and approval.
  6. An update will be sent to the provided mobile number and/or email address after 7 business days.
  7. For renewal customers, you may pre-order by filling out this form.


I have read and confirmed that all details provided are correct and will be used as basis in the processing of my renewal request. Submitting a new form will mean that the contents of this version is null and void.


I have read and agreed to Globe's Terms and ConditionsSubscriber's Declaration and Promo Certificate.


I would like to receive personalized communications, product and service offers, and updates about future promotions and events from Globe and its subsidiaries, affiliates, and partners.


If you change your mind about any of the permissions you’ve given to Globe above, you may get in touch with us by texting STOP to 21586863 for Globe/TM or STOPVC to 225656863.


By clicking the "I agree" checkbox below, I consent to the collection and use of the data that I have provided to Globe through this application form for the Samsung Galaxy Z Series Application. I understand that the collection and use of this data, which may include personal information and sensitive personal information, shall be in accordance with the Data Privacy Act of 2012 and the Privacy Policy of Globe.

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