ORDER INFORMATION
Associate Id
First Name
Last Name
Email Address
PICK YOUR PHONES
Primary Phone
Own Phone Purchase New Phone Purchase Refurbished Phone Purchase Used Phone FREE PROMO Phone
Brand
Model
Second Phone
blank Own Phone Purchase New Phone Purchase Refurbished Phone Purchase Used Phone
Brand
Model
Third Phone
blank Own Phone Purchase New Phone Purchase Refurbished Phone Purchase Used Phone
Brand
Model
PICK YOUR PLANS
Primary Phone Number
	Or Check Here for New Number
Phone Plan
$39.95 - Unlimited Talk & Text +20mb $59.95 - All-in-One +20mb $64.95 - (PROMO) Unlimited Talk & Text +50mb $79.95 - Unlimited Talk & Text +50 $79.95 - (GSM) Unlimited Talk & Text +150mb $89.95 - (GSM) All-in-One +150
Second Phone Number
	Or Check Here for New Number
Phone Plan
blank $39.95 - Unlimited Talk & Text +20mb $59.95 - All-in-One +20mb $79.95 - Unlimited Talk & Text +50mb $79.95 - (GSM) Unlimited Talk & Text +150mb $89.95 - (GSM) All-in-One +150
Third Phone Number
	Or Check Here for New Number
Phone Plan
blank $39.95 - Unlimited Talk & Text +20mb 59.95 - All-in-One +20mb $79.95 - Unlimited Talk & Text +50mb $79.95 - (GSM) Unlimited Talk & Text +150mb $89.95 - (GSM) All-in-One +150
	I understand there is a $10.00 port charge per number ported.
	I agree there is one-month set-up fee, $25.00 activation and $25.00 programing fee per phone.
CREDIT CARD INFORMATiON
Name As It Appears On Credit Card
Billing Address of Credit Card
City
State
Zip
Credt Card Number
CVV2
Expiration Date
NEXT SUBMIT FORM AND COMPLETE ORDER PROCESS
	I agree to TMI Telecom's Terms & Conditions regarding this sale.
	I hereby authorize Target Management, Inc. to charge my credit card for this purchase.
You Will be directed to the NEXT STEP to process your order information and choose your equipment, service fees, and plans...