Total Wireless Exclusive Store Questionnaire
Contact Name (First & Last) *
Your answer
Company Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Cell Number (XXX) XXX-XXXX *
Your answer
Email Address *
Your answer
Are you currently selling TracFone? *
If YES, is Cellucom Group your current Master Dealer? *
If YES, who is your Cellucom Group Sales Rep? *
Your answer
What is your current TSP (VidaPay/InComm) ID? *
Your answer
Do you currently have wireless stores? *
Number of stores interested in converting to TracFone (or) opening as new? *
If CONVERTING, are the stores Multi-Carrier (or) Exclusive? *
If EXCLUSIVE, which Carrier? *
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