Submission of this online form is a confirmation that you agree to all terms and conditions stated on the membership agreement included on your signed
and received application form. Information submitted through this online form are final and nonchangeable. Nonsubmission of the signed application
form and nonreceipt of the copy thereof reserves the company the full ownership and right to change, suspend, or invalidate the encoded account
and its benefits. Please review carefully and be guided accordingly before submission.