ABOUT US
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VOICE STREAM  Application Form

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:

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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

Please select a cellular phone from the list below:

Cellular Phone Type

Please select any optional services if desired:

Optional Services

Please provide the following ordering information:

Credit Card information (optional)
Credit card
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:

You must accept the terms and conditions for your order to be proccessed.   Selecting "I agree" is the electronic equivalent to signing your name.