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T-Mobile Internet by Collins Mobile
Customer Confirmation - Home Internet Availability
Click "I Confirm" that you are giving Collins Mobile permission to have one of our specialists contact you to verify your eligibility for T-Mobile's home internet service.
I Confirm:
1. Are you currently a T-Mobile or Sprint account holder?
T-Mobile
Sprint
N/A
2. Customer Information
Name:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
E-mail:
Phone:
Do not use spaces or special characters.
3. Dealer/ Associate Information:
Dealer/Salesperson Name:
Dealer/Salesperson E-mail:
T-Mobile Dealer Code:
4. DATE AND TIME customer may be contacted by Collins Mobile
1st choice date:
2nd choice date:
1st choice time:
2nd choice time:
Is Customer interested in a T-Mobile Phone Plan?:
No
Yes
Are you 55 Years or older?
Yes
No
Are you a first responder?
Yes
No
Are you active or retired military?
Yes
No
5. List other services requested by customer:
Submit
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