Agent order

New Customer Existing Customer

CUSTOMER VERIFICATION

Email address:

ORDER DETAILS

T4 Agent Code:

Price per SIM:

$5.00 CAD

Number of SIMs:

Postage:

Free Standard Post 3-5 days

Price:

0.00 CAD

CUSTOMER INFORMATION

Title:

First name:

Surname:

Date of birth:

Phone number:

Address line 1:

Address line 2:

Country:

Canada

City:

State:

Postcode:

TRIP DETAILS

To ensure that the SIM will arrive in time for your customer's trip, please ensure departure date is at least 10 days from today.

Departure date:

Return date:

I have explained to the customer that by registering & ordering a Global SIM, they are agreeing to the United Global SIM's Privacy Policy and Terms & Conditions. These documents will be sent to the customer via the email address provided.

I have advised customer that the Global SIM works in unlocked mobile devices and that whilst we made every attempt to ensure consistent availability of international networks, we cannot guarentee their service.

Customer would like to recieve future deals, offers and promotions.