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The information on this page has been sent to Tech-Go. Completion of this form is acknowledgement you have read and agree to the terms in our Rental Agreement. Tech-Go requires the Rental Agreement to be signed and faxed along with photo ID to complete the order process.
** Click to Proceed to Step 2 - Rental Agreement **
Submitted Information
Promo/Agent/Referral
Code (optional)
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Number
of phones required? |
In
which countries will the equipment be used? |
Date
equipment needed? |
Expected
date you will return ship? |
Which
Phone and Rental rate do you desire?
rentalplan |
Choose your Service |
Phone
Service and Usage rateplan |
Insurance and Accessories |
Do
you wish to purchase theft protection? |
Do
you wish to rent a hands-free headset? handsfree |
Do
you wish to receive an extra battery for no charge? extra-battery |
Do
you wish to rent a data card and cable? modem-card |
Do
you wish to be provided an ISP Account which supports 9.6
connection |
Do
you wish to rent a Pocket PC for internet and email access? PocketPC |
Choose Shipping Method |
shipbill fedexaccount Shipcarrier saturdaydelivery saturdayshipment |
Credit
Card Information and Billing Address: Non-USA cards must fax front and back of card with photo id to +1-404-671-9419 * = optional
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Special
Notes specialnotes |
** Click to Proceed to Rental Agreement **