Are you a new or existing customer * Existing Customer New Customer
Which product or service? * Bundles Internet IoT Devices Mobile Wearable Devices Accessories Prepaid Digital TV Equipment Replacement Home Phone
Which bundle? * Double play Saver Double play Unlimited Triple play Saver Triple Play Unlimited Quad play LITE Quad Play SELECT Quad Play ULTIMATE
Which Internet plan? * 15 Mbps 25 Mbps 50 Mbps 75 Mbps Lifeline for Internet Upgrade My Speed
Do you need a SIM Card replacement? * YesNo
Select a Handset * iPhone 12 mini 64GB iPhone 12 64GB iPhone 12 128GB iPhone 12 Pro 128GB iPhone 12 Pro 256GB iPhone 12 Pro Max 128GB iPhone 12 Pro Max 256GB iPhone 12 Pro Max 512GB Samsung Note 20 Ultra 256GB Samsung S20 128GB Samsung S20+ 128GB Samsung S20 Ultra 128GB Samsung Note 10 256GB Samsung Note 10+ 256GB iPhone 11 64GB iPhone 11 128GB iPhone 11 Pro 64GB iPhone 11 Pro 256GB iPhone 11 Pro Max 64GB iPhone 11 Pro Max 256GB iPhone 11 Pro Max 512GB Other
If Other please specify a handset
Select a plan * HPO Start | $60/mo HPO Play | $70/mo HPO Live | $80/mo Contract Live | $80/mo Plans without Auto Pay are subject to additional $5 charge.
Select IoT Device * Google Nest Wifi Google Wifi Google Home Apple TV HD Google Chromecast Samsung SmartThings Hub
Select Wearable Device(s) Apple AirPods Pro/$299Apple AirPods 2/$199Apple Airpods 2/$249 (with wireless charging)Samsung Galaxy gear Buds Live/ $190Samsung Galaxy gear buds +/$160Samsung Galaxy gear buds /$130Apple Watch Series 6 40MM $419.00Apple Watch Series 6 44MM $449.00Apple Watch Series SE 40MM $289.00Apple Watch Series SE 44MM $319.00
Accessories Mophie Stream Pad Plus/ $45Mophie Charge Power Station Wireless/ $70Mophie Charge Stream Power Station Wireless XL/$80
Select a Digital TV Package * Lite Package 20+ channels Standard Package 110+ channels Premium Package 140+ channels
Select equipment to replace * Modem Replacement STB Replacement DVR Replacement Remote Control Replacement SIM Card Replacement
Select a prepaid product * 7 day SIM Kit 4 day SIM Kit Samsung Galaxy A20s Figo Fury Pro MiFi (Alcatel LINKZONE)
Select a location * GTA Experience Center (Landmark Intersection, Tamuning) Micronesia Mall (Near Ross) AAFB BX (Base Access Req) NEX (Base Access Req)
Select a plan * Basic home phone service Lifeline for home phone
Full Name *
Email *
Primary contact number *
Building number/street name *
Address 2
Village *
GU *
Zipcode *
Best time to reach you? * AM PM
Preferred way to contact you? * Call Email
Payment method? * Credit card Debit card Cash AutoPay
Additional information
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