First — your store code.

This is the code the store or person who referred you gave you. It makes sure they get credit for your activation.

Store / Referral Code *

Code accepted

Please enter the code you were given.

Don't have a code?

No problem — message us on Instagram and we'll get you one right away, or ask the store you're signing up with. The code is how we make sure the right person gets credit.

About you.

The basics we need to set up your account.

Full Name *

Please enter your full name.

Date of Birth *

Please enter your date of birth.

Contact Phone *

Please enter a phone number we can reach you on.

Email Address *

Please enter a valid email address.

Billing Address *

Please enter your billing address.

Shipping Address — only if different

Preferred Contact Method *

Phone Text / SMS Email

Please choose how you'd like us to reach you.

Your plan.

Not sure which one? Pick your best guess — we'll confirm the right fit before anything is activated.

Plan Choice *

Please choose a plan (or "Not sure").

Do you need a mobile hotspot? *

Yes No Not sure

Please let us know.

International Calling Needs — optional

Every plan includes calling to 20+ countries — tell us yours and we'll confirm it's covered.

Family Plan / Multi-Line — optional

Additional Notes or Requests — optional

Almost done.

Last step — let us know about your current number, then confirm and you're set.

Do you want to keep your current phone number? *

Yes, transfer it No, give me a new one

Please let us know about your number.

Number transfer details

Current Carrier *

Please tell us your current carrier.

Number You're Transferring *

Please enter the number you're transferring.

Name on the Account — if different from yours

Is the number currently active? — optional

Yes No

Your account number and transfer PIN are collected securely at activation — never through this form. We'll walk you through exactly where to find them.

Please confirm to continue.

Let's get you connected.

First — your store code.

About you.

Your device.

Your plan.

Almost done.

Welcome to the MMC Wireless family! 🎉