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Supplemental Information Required to Process and Activate Your Phone

Instructions: To Expedite the processing and activation of your phone order, please complete this form. The information on this form will not be saved. It will be sent to Global Wireless.
For assistance, please email support@globalwireless.ca    
Note: Required fields in blue text.
Contact Theresa Hope for assistance 416-385-9191 or 1-888-372-9191
Corporate Purchase Form
Member Company:
Customer Name:  
Billing Address including city and postal code:
Business Phone:
Your Email:
Credit Card:
 Credit Card  
 Expiration Date (MM/YYYY)
Credit Card Validation Code

NO DEBIT CARDS
Birth Date:
Employee Number:
(ex. 700xxxx)
Shipping Address including city and postal code: (if different than above)
New Bell Number requested: Type of Number: (ie: Toronto, Montreal)
Replace Existing Phone :
Yes (XXX-XXX-XXXX)
Note:
If replacing an existing phone, please check and provide the existing Bell Mobility cellular number with area code.
Modify Plan Type :
Change existing Bell Mobility personal account to Corporate liability
I understand that my account will be placed under Corporate Liability to take advantage of periodic best plan recommendation.
Bring my existing Rogers, Telus or Fido cell number to Bell:

Yes Existing Cell #(XXX-XXX-XXXX)
Existing account # mandatory if porting your number.

Phone Choice:
iPhone SE 32GB New activation or Qualified upgrade $99.99*
iPhone SE 128GB New activation or Qualified upgrade $229.99*
iPhone 6s 32GB New activation or Qualified upgrade $268.99*
iPhone 6s 128GB New activation or Qualified upgrade $398.99*
iPhone 6s Plus 16GB New activation or Qualified upgrade $378.99*
iPhone 6s Plus 32GB New activation or Qualified upgrade $398.99*
iPhone 6s Plus 128GB New activation or Qualified upgrade $528.99*
iPhone 7 32GB New activation or Qualified upgrade $398.99*
iPhone 7 128GB New activation or Qualified upgrade $528.99*
iPhone 7 256GB New activation or Qualified upgrade $528.99*
iPhone 7 Plus 32GB New activation or Qualified upgrade $548.99*
iPhone 7 Plus 128GB New activation or Qualified upgrade $678.99*
iPhone 7 Plus 256GB New activation or Qualified upgrade $678.99*
BlackBerry DTEK50 New activation or Qualified upgrade $0*
BlackBerry PRIV New activation or Qualified upgrade $149.95*
BlackBerry Classic New activation or Qualified upgrade $0*
Google Pixel New activation or Qualified upgrade $349.95*
Google Pixel XL New activation or Qualified upgrade $499.95*
Huawei P10 New activation or Qualified upgrade $49.95*
Kyocera DuraForce New activation or Qualified upgrade $0*
Kyocera DuraXE New activation or Qualified upgrade $99.99*
LG F4n New activation or Qualified upgrade $0*
LG G5 New activation or Qualified upgrade $249.95*
LG G6 New activation or Qualified upgrade $349.95* | Black, Silver
LG Stylo 3 Plus New activation or Qualified upgrade $0*
LG V20 New activation or Qualified upgrade $449.95*
Motorola Moto Z New activation or Qualified upgrade $349.99*
Novatel MiFi 6630 New activation or Qualified upgrade $0****
Samsung Galaxy J3 New activation or Qualified upgrade $0
Samsung Galaxy S6 - 32GB DISCONTINUED
Samsung Galaxy S7 - 32GB New activation or Qualified upgrade $219.95*
Samsung Galaxy S7 edge - 32GB New activation or Qualified upgrade $349.95*
Samsung Galaxy S8 - Shipping after April 21 New activation or Qualified upgrade $439.95*
Samsung Galaxy S8+ - Shipping after April 21 New activation or Qualified upgrade $509.95*
Sonim XP5 New activation or Qualified upgrade $149.95
Sonim XP7 New activation or Qualified upgrade $149.95
Sony Xperia XA New activation or Qualified upgrade $0
Sony Xperia X Performance New activation or Qualified upgrade $149.95*


Phone Colour:

iPhone SE, 6S and 6S Plus iPhone 7 and 7 Plus
Grey (black front/grey back) Matte Black
Silver (white front/silver back) Silver
Gold (white front/gold back) Gold
Rose Gold (white front/rose gold back) Rose Gold
  Jet Black in 128 GB and 256 GB only
  Red
* with new activation or qualified upgrade 36 month term with voice plan and minimum $25 data feature (before corporate discount).
** see Tablet Flex 36 month plan on Plans Page
*** see Turbo Hub 36 month plan on Plans Page
**** see Tubo Hub Flex Plan on Plans page

Pricing subject to availability and to change without notice.

Plan Choice:
(please email support@globalwireless.ca for Company Plan details)
  10-4 Option (Details)
Plan Term:
Additional Airtime:
Accessories: Car Adaptor $20 - iPhone 5 Car Adaptor (click here)
Leather Case with Clip $20
Handsfree Headset Earbud $15
3 Piece Kit - all 3 pcs. above $35

Data Feature (for use with Blackberries, PDAs, Data Cards…see Corp/Personal Airtime Plans for details)

Message Centre $6.00 (free with Corp PCS)
Call Display $4.00 (free with Corp PCS)
Special Instructions or Comments:
Coverage Map: I have reviewed the Bell Mobility Coverage Map for the HSPA+ device or EVDO device selected Yes Required
Agreement: I agree to Bell Terms and Conditions and applicable Data Features, DOA Yes Required

To have a confirmation emailed to you, please enter the characters you see in the image:

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  Wireless Device Availability

       
Not available through retail stores.
Phone prices based on new activation in Bell Mobility territory based on term selected and subject to change without notice.

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