First Name

Last Name

Business Email

Business Name

Business Phone Number

Role C-Suite SVP VP Director Sr. Manager Manager Other

Number of Locations

Business Category Tier 1 Carrier Tier 2 Carrier Tier 3/Regional Carrier Indirect Authorized Retail SWS/Multi-Carrier OEM/Brand Wireline Carrier Cell Phone Repair Shop Specialty Retailer/Other

Country United States Canada Mexico Other

Carrier AT&T Bell Mobility Bluegrass Cellular Boost Carolina West Wireless Cellcom Cellular One Chatr Comcast / Xfinity Cricket Fido Freedom GTA Wireless Koodo Metro PCS Multi (AUS) Multi (CDN) Multi (US) MVNO Non-Cellular Retailer Optus Other Repair Rogers SaskTel Mobility Shaw Sprint Tbaytel Telstra Telus T-Mobile TracFone US Cellular Verizon Virgin Mobile Vodafone Xfinity C Spire Spectrum COX

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