Register Now

Use the form below to register and buy your TeleHaiti Everywhere plan.

Select your Country *

Email (username) *

Verification Code (Paste the code received by email)

First Name *

Last Name *

Address Line 1 *

Address Line 2

Phone Number (xxxx-xxxx) *

City *

State / Department *

State *

ZIP (xxxxx or xxxxx-xxxx) *

ZIP *

City *

State / Department *

ZIP *

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