Its as easy as 123

1
Its as easy as 1-2-3!!!
1. Select a phone _________________________
(See attached sheet)
FAX COMPLETED FORM TO MaryLynn Gore 509-327-1451
or Email Marylynn.Gore_at_Verizonwireless.com Questi
ons? Call 509-993-3110
2. Select a price plan ___One Line Or
___Family Share ____Total phones Price Plan
Minutes__________

• Optional Accessories (Additional Charge)
• Leather Case,Car Charger,Headset 49.97
• Leather case, Car charger 39.98
• Leather Case,Car Charger, Bluetooth 79.99
• SAVINGS OF 40 PERCENT!!
• Music Kit w/ 1 Gig memory card 67.49
• Individual Accessories 25 disc.

New Activation Equipment Upgrade 1 Year
Contract 2 Year Contract
Enhanced Services (Optional) 250 Text, Pix, and
Flix messages 5.00/MO Unlimited IN network
Txt Pix 10.00/MO (with 500 extra
messages) Unlimited IN network Txt Pix
15.00/MO (with 1000 extra messages) Insurance
4.99/MO (Must be added on within 14 days of
activation) Mobile Web 5.00/Mo
Bus. Name__________________________ Name
______________________________ Home Phone
_________________________ Date of Birth
_________________________ DL ____________________
___________ SS _______________________________ Cu
rrent Cell Phone Co.___________________ Cell
Phone Number______________________ Cell Enter
Account ______________ Work Phone_______________
___________ Billing Address_____________________
___ ____________________________________ City_____
__________ Zip ___________ Shipping Address
(PO Boxes not accepted) __________________________
___________ _____________________________________
EMAIL ADDRESS______________________

ACTIVATION FEES WAIVED ON 2 YEAR AGREEMENTS

City of Service
Spokane Other
Add my phone to my existing account. Existing
Cellular .
DISCOUNTS ONLY GUARANTEED IF NEW ACCOUNT IS
ACTIVATED BY ABOVE REP
Phone prices shown are with new activation's
ONLY. Phone Upgrade pricing will fluctuate
depending on equipment selected.