Can I register an account for a family member or friend anywhere in the world, send them the information, they can login and download the soft phone and make phone calls?

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Yes, you can purchase activation codes, register the account with their name, create the password and e-mail them the details. They can log into their account from wherever they are from this website, download the soft phone and make calls. They will simply need to use a headset or microphone or both if they are not built into the computer they will be making the call from.