Account Setup 

Please return completed form to: 

JouBeh Technologies 
11 Thornhill Drive, Suite 101 
Dartmouth, NS B3B 1R9 
Canada 
Fax: +1902-405-4438 

sales@joubeh.com 

Business Name: 
Technical Contact Accounting Contact 
First Name: 
Last Name: 
Full Mailing Address: 
Address: 
City: 
Postal/Zip Code: 
Province/State: 
Country: 
Area Code & Telephone#: ( ) 
Fax#: ( ) 
Cellular# (Optional): ( ) 
E-Mail Address: 
First Name: 
Last Name: 
Full Mailing Address: 
Address: 
City: 
Postal/Zip Code: 
Province/State: 
Country: 
Area Code & Telephone#: ( ) 
Fax#: ( ) 
Cellular# (Optional): ( ) 
E-Mail Address: 
CREDIT CARD INFORMATION for Monthly Billing (Visa or MasterCard Accepted) 
Card Type Card Number Expiry Name, as it appears on card 
/ 
INVOICE DISTRIBUTION PREFERENCE (please choose only one) 
E-MAIL MAIL 
IRIDIUM SATELLITE SERVICE INFORMATION 
RUDICS SHORT BURST DATA (SBD) CIRCUIT SWITCHED DATA (CSD) SMS 
CUSTOMER SERVICE ACCEPTANCE (Must be completed by customer) 
I recognize that the provision of Services I have requested shall be provided by JouBeh Technologies pursuant to JouBeh 
Technologies’ commercial terms and conditions as posted on JouBeh Technologies’ website at www.joubeh.com at the time of 
provision of Services and I agree to abide with and be bound by those terms and conditions. 
Authorized Name (Please Print) Authorized Signature 
/ / 
Date (DD/MM/YYYY) 

JouBeh Technologies 

11 Thornhill Drive, Suite 201 
Dartmouth Nova Scotia, Canada, B3B 1R9 
Tel: +1-902-405-4428, Fax: +1-902-405-4438 


www.joubeh.com 
sales@joubeh.com 


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