> Wireless Activation Request Form
Wireless Activation Request Form
Complete the form below after completing your Wireless Service purchase.
Customer Information (must match with the information on your order)
Complete the following to activate with a New Mobile Number. Skip to Section D, agree to the Terms, and click the "Submit" button.
Complete the following for Port-In Activations. Transferring your mobile number may take up to 3 business days to complete depending upon the previous service provider's system.
Old Service Provider:
Mobile number to transfer:
Check here if the mobile number is under contract.
Account Holder's First Name:
Account Holder's Last Name:
Account Number (No special characters or spaces allowed):
Terms and Conditions
My Wireless Service purchase will be activated using the information that I have provided above. I agree that there are no returns or exchanges on SIM cards or Wireless Refills.
Thank you for your purchase!
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