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New Appointment

Are you a new or current Nex-Tech Wireless customer?

Reason for visit


Customer Information


Promotions


*Restrictions apply, including select plans and device trade-in required.

New Device

Manufacturer

Model

Color / Size

Plan

*Please submit a new form for each additional line.

Appointment/Pickup Location


Upon Submit, to protect against identity theft, we will call you to collect your SSN.