To apply for service, please fill out the form below. If you experience any difficulties using this form, or to order by phone, please call us at 1-212-889-5555. You will be notified of your status within 24 hours.
Please provide the following contact information:
Personal Information
Rebate $50.00 P280 / $70.00 T193 Ask for details
First name Middle Last name Date of Birth Social Security # Driver Lic Organization Street address Address (cont.) City State/Province Zip/Postal code Work Phone Home Phone E-mail
Please select a plan from the list below:
Cellular Plan $19.99 No Roam-Free Long Distance-500 Weekends $39.99 500 Mins - No Roam-Free Long Distance-Unlimited Weekends $59.99 No Roam-Free Long Distance-Unlimited Weekends $29.99 No Roam-Free Long Distance-Unlimited Weekends $19.99 iStream No Roam-Free $39.99 iStream No Roam-Free
Please select a cellular phone from the list below:
Cellular Phone Type NOKIA 8890 {World Phone} NOKIA 8290 NOKIA 3390 Nokia 6190 Nokia 5190 Motorola P280 Tri-band *World* Motorola Timeport 7382 Motorola g520 Motorola T193 Motorola V100 Motorola P193 Samsung N105 Ericsson 738 Ericsson T28 (World Phone) G100 Pc Card
Please select any optional services if desired:
Optional Services Free ROAMING & Long Distance US & UNLIMITED WEEKEND Standard Voicemail (FREE) Caller ID (FREE) Call Waiting (FREE)
Please provide the following ordering information:
Credit Card information (optional) Credit card VISA MasterCard American Express Cardholder name Card number Expiration date SHIPPING (If different from above) Street address Address (cont.) City State/Province Zip/Postal code
Comments:
TERMS AND CONDITIONS I allow probeep.com to run a credit check on the name(s) listed, which is me. All the above information is TRUE. None of this information will be sold to any type of marketing firms. we are not responsible for any errors on the rate plan sheet.YOUR IP ADDRESS IS LOGGED. FRAUD WILL BE PROSECUTED
Do you agree to the terms and conditions as outlined above: I agree No, I DO NOT agree
You must accept the terms and conditions for your order to be proccessed. Selecting "I agree" is the electronic equivalent to signing your name.