DEALER INQUIRY FORM

Thank you for expressing an interest in our world class wireless dealer program. If you have a retail type of location and would like to add our services to your product line, we would love to have you join our team. The first step is to fill in the form and a representative will contact you shortly to discuss.

Company Name

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Business Type

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Store Address

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City

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State

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Zip Code

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Contact Person

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Phone

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Mobile

*Optional

E-mail

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Where are your primary market areas (cities, states)?

What Carriers do you currently sell phone services for?

How many cellular phones do you activate per month on average?

Where did you hear about us?

Please tell us about your business and why you should be considered as an independent dealer.