Call:
(800) 474-9724 |
Email:
support@modernw.com
Wireless Brands
Simple Mobile
H2O Wireless
Gen Mobile
Spectrum
Verizon Prepaid
Wholesale
Contact
Become a Dealer
Become a Dealer
Please fill out all the information below to open a new dealer account with Modern Wireless. Your account will be reviewed, and you will be contacted within 24-48 hours.
Become a Dealer
Business Information
First Name (Owner)
*
Last Name
*
Legal Business Name
*
DBA Name
Business Phone Number
*
Mobile Number
*
Entity Type
*
Select One
Sole Proprietor or Single Member LLC
C Corporation
S Corporation
Partnership
Trust / Estate
LLC (C Corp)
LLC (S Corp)
LLC (Partnership)
Other
Federal Tax ID
*
Address
*
City
*
State
*
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
U.S. Virgin Islands
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Dealer Information
What prepaid carriers are you interested in?
Simple Mobile
Verizon Prepaid
H2O Wireless
Gen Mobile
Spectrum
What wholesale products are you interested in?
Phones
Tablets
Accessories
Location Type
None
Store within a Store
Other
Kiosk
Storefront
Swap Meet Space
Referred By
None
Competitor's Site
Dealer
Google Search
Other
TracFone
Primary Business Type
None
Wireless Activations & Refills
Cellular Repairs
Cellular Accessories
Check Cashing & Money Transfer
Electronics
Smoke Shop
Liquor / Convenience Products
Other
Message (Optional)
Account Setup
Email Address
*
Sales Rep
None
Alvaro Alcalde
Amelia Gomez
Andrew MGR
Casey Fernandez
Dayana Amarante
East Coast
Eylin Cardani
Francisco Rubio
Gabriel Alvarado
Jeyson Sanchez
john sanchez
Jose Chavez
Mid West
Miguel Castro
Myra Ramirez
Roberto Garcia
Yaquelin Martinez
Upload Images
Seller's Permit
See Example
State ID / DL
Store Interior Image
Store Exterior Image
I certify that the information provided in this form is true and correct, and I authorize Modern Wireless Inc to open a new account.
I opt-in to receiving SMS marketing and account notification text messages from Modern Wireless Inc.
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