Device Reservation - Personal Info

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You'll get a confirmation email after reserving your devices. Save the email in case you want to check the status of your reservation.

CUSTOMER INFO

STEP 1 OF 3

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

State *

Postal Code *

Mobile Phone *

Email Address *

How do you want to be notified?

Email & SMS

We'll let you know when your device is available. You’ll then have 48 hours to complete your purchase before your reservation expires.

* Required

CREDIT INFO

Social Security Number *

Years at current address *

Gender *

Date of Birth *

Occupation *

Current Employer *

Continue to STEP 2

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