PREPAID NEW ACTIVATION ORDER FORM

Are you an existing Outfitter Satellite customer? *
Is this a Personal Account or a Business/Corporate Account? *

IMPORTANT: CUSTOMER PAYS ANY APPLICABLE TAXES, USF FEES AND OTHER FEES IN ADDITION TO RATES SHOWN.  

FOR FURTHER INFORMATION, PLEASE SEE: FEES FAQ

SIM CARD CONFIRMATION (IF APPLICABLE)

If you have already received your SIM cards, please enter the serial number of the SIM card(s) you are activating.  Select the green "+" to add additional lines.  If you have not yet received your SIM cards, you will need to call Outfitter Satellite for verification before activation.
+-

CHOOSE YOUR PREPAID VOUCHER

PLEASE CHOOSE YOUR SATELLITE PHONE NETWORK:

IRIDIUM GLOBAL

Please select the quantity of prepaid vouchers you would like to purchase from the dropdown next to your selection. (200-Minute or larger voucher purchase required for new/used hardware purchase / 1200-Minute or larger voucher purchase required for promo prepaid hardware pricing)
PLEASE SEE IRIDIUM GLOBAL PREPAID TERMS AND CONDITIONS FOUND BY REFERNCE AT:
https://shop-outfittersatellite-com.3dcartstores.com/assets/images/adobe/Service_IRIDIUM_PREPAID.pdf

IRIDIUM REGIONAL

Please select the quantity of prepaid vouchers you would like to purchase from the dropdown next to your selection.
PLEASE SEE IRIDIUM REGIONAL PREPAID TERMS AND CONDITIONS FOUND BY REFERENCE AT:

IRIDIUM GO!

Please select the quantity of prepaid vouchers you would like to purchase from the dropdown next to your selection.
PLEASE SEE IRIDIUM GO! PREPAID TERMS AND CONDITIONS FOUND BY REFERENCE AT:
PLEASE SEE IRIDIUM GO! TEXT AND CALL PREPAID TERMS AND CONDITIONS FOUND BY REFERENCE AT:

INMARSAT GSPS (ISATPHONE)

Please select the quantity of prepaid vouchers you would like to purchase from the dropdown next to your selection. (100-Unit or Larger Voucher Purchase Required for New Hardware Purchase)
PLEASE SEE INMARSAT GSPS PREPAID TERMS AND CONDITIONS FOUND BY REFERENCE AT:

ACR BIVY® STICK

Voucher Type Choice *
Please select the quantity of prepaid vouchers you would like to purchase from the dropdown next to your selection. (3-Month or Larger Voucher Purchase Required for New or Used Hardware Purchase)
ACTIVATION FEE OF $29.99 PER DEVICE

PLEASE SEE ACR BIVY® STICK TERMS AND CONDITIONS FOUND BY REFERENCE AT:

INMARSAT BGAN

Please select the TYPE of BGAN voucher you with to reload *
Please select the quantity of prepaid vouchers you would like to purchase from the dropdown next to your selection.
PLEASE SEE THE FOLLOWING TERMS AND CONDITIONS FOUND BY REFERENCE:
 
INMARSAT BGAN GLOBAL PREPAID TERMS AND CONDITIONS:
 
INMARSAT BGAN SOUTH AFRICA PREPAID TERMS AND CONDITIONS:
 
INMARSAT BGAN SOUTH AMERICA PREPAID TERMS AND CONDITIONS:
 
INMARSAT BGAN GLOBAL STREAMING PREPAID TERMS AND CONDITIONS:

THURAYA SCRATCH CODES

Please select the quantity of prepaid vouchers you would like to purchase from the dropdown next to your selection.
PLEASE SEE THURAYA PREPAID SCRATCH CODE TERMS AND CONDITIONS FOUND BY REFERENCE AT: https://shop-outfittersatellite-com.3dcartstores.com/adobe/Service_THURAYA_PREPAID-woSIG.pdf

EMERGENCY AFTER HOURS ACTIVATION

IS THIS ACTIVATION URGENT (IT NEEDS TO BE PROCESSED OUTSIDE OF NORMAL BUSINESS HOURS)? *
FOR AN EMERGENCY AFTER HOURS ACTIVATIONS, YOU MUST PURCHASE A MINIMUM OF:
  • 600 MINUTES FOR IRIDIUM GLOBAL VOUCHERS
  • 500 UNITS FOR GSPS (ISATPHONE) VOUCHERS
  • 1000 UNITS FOR BGAN VOUCHERS
  • 160-UNIT THURAYA SCRATCH CODES
UPON COMPLETION OF THIS FORM, YOU MUST CALL 615-889-8833 AND SELECT OPTION 7 TO LEAVE A MESSAGE.  A MEMBER OF OUR TECHNICAL SUPPORT STAFF WILL CONTACT YOU WITHIN 2 HOURS TO CONFIRM COMPLETION OF YOUR ACTIVATION.

ATTESTATION FOR PRIMARY PLACE OF USE

Outfitter Satellite, Inc. needs to know the PRIMARY PLACE OF USE of the satellite services being purchased by the Customer for tax purposes.  The Customer hereby certifies that the PRIMARY PLACE OF USE will be: (select one) *
PLEASE LIST OTHER ADDRESS

AUTHORIZED USERS ON ACCOUNT - PERSONAL

Why do we need you to name an Authorized User?  This person needs to be a trusted individual such as a spouse or business associate that can act on your behalf in the event we are unable to reach you. In the event that there is a billing or technical issue that could affect your service, this person can act on your behalf to assist in continuing or restoring your service.  

What is an Authorized User with Full Access rights?  An Authorized User with Full Access rights is authorized by the Customer to discuss and view all rental and usage bills including detailed call records and make changes to rental or service plans including canceling service or activating new service, and receive technical support as per the terms of this agreement or other agreements executed separately by the Customer.      

The Customer names the persons below as Authorized User(s) with Full Access rights: 

 
MUST BE DIFFERENT FROM
MAIN CONTACT PERSON ABOVE
 
MUST BE DIFFERENT FROM CONTACT
INFORMATION OF MAIN CONTACT

AUTHORIZED USERS ON ACCOUNT - CORPORATE

Why do we need you to name additional Authorized Users?   For corporate accounts,  naming the Accounts Payable person for your company an Authorized User is necessary to allow them to discuss billing issues and information.  It is also useful for us to identify other people within the company that can discuss billing issues, make purchases, or receive technical support related to your account in the event we are unable to reach you.

What is an Authorized User with Full Access rights versus Technical Support rights only?  An Authorized User with Full Access rights is authorized by the Customer to discuss and view all rental and usage bills including detailed call records and make changes to rental or service plans including canceling service or activating new service, and receive technical support as per the terms of this agreement or other agreements executed separately by the Customer. A customer with Technical Support rights is only authorized to receive technical guidance on the use of the satellite communications equipment.      

The Customer names the persons below as Authorized User(s) with Full Access rights:

 
MUST BE DIFFERENT FROM
MAIN CONTACT PERSON ABOVE
 
MUST BE DIFFERENT FROM CONTACT
INFORMATION OF MAIN CONTACT 
___________________________________________________________________________________________________________________________________

MORE AUTHORIZED USERS (OPTIONAL)

Add an additional user? *
Do you want them to have Full Access rights or Technical Support only rights?

CREDIT CARD INFORMATION

IMPORTANT:  Before your reload can be completed, you must submit your credit card information into our secure credit card web portal.  Once we receive this completed new activation form, our customer service team will send an email to the main email address listed on this form with an enclosed link to our secure credit card portal where you will enter and save your credit card information.  Activation forms received outside of normal business hours will be processed the following business day.   We cannot process your activation if the credit card information or Security Code for the card cannot be verified by our system.

FUTURE RELOAD PAYMENT AUTHORIZATION: Once I have entered my payment information into the secure credit card portal to pay for my prepaid service activation: *

ADDITIONAL TAXES AND FEES

I ACKNOWLEDGE THAT I AM RESPONSIBLE FOR THE PAYMENT OF ANY APPLICABLE TAXES, DUTIES OR FEES. IF IT IS DETERMINED THAT YOU LIVE IN A STATE WHERE WE ARE REQUIRED TO COLLECT TAXES, THESE TAXES WILL BE ADDED TO YOUR INVOICE AT THE TIME OF INVOICING (AMOUNT NOT SHOWN HERE).  IF YOU WOULD LIKE AN ESTIMATE OF THE TAXES BASED ON YOUR LOCATION, PLEASE CONTACT US AT 615-889-8833 DURING NORMAL BUSINESS HOURS.

SIGNATURE

BY SIGNING BELOW, I AM ACTIVATING A SERVICE AGREEMENT WITH OUTFITTER SATELLITE, INC. AS INDICATED ABOVE, AND I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND ALL THE TERMS AND CONDITIONS INCLUDED IN ALL PAGES OF THIS AGREEMENT INCLUDING THE TERMS AND CONDITIONS INCORPORATED BY REFERENCE FOUND AT https://shop-outfittersatellite-com.3dcartstores.com/adobe/TermsConditions.pdf AND I AGREE TO BE BOUND THEREBY, OR IF I AM SIGNING IN A REPRESENTATIVE CAPACITY, I AGREE THAT THE ENTITY FOR WHICH I AM SIGNING WILL BE BOUND THEREBY. IF SIGNING ON BEHALF OF AN ENTITY, I REPRESENT AND WARRANT THAT I AM A DULY AUTHORIZED REPRESENTATIVE OF THAT ENTITY AND I HAVE SUBMITTED THIS APPLICATION IN MY OFFICIAL CAPACITY AND I WARRANT AND REPRESENT THAT I HAVE FULL AUTHORITY TO DO SO AND TO BIND SAID ENTITY.

 *
clear
CARDHOLDER SIGNATURE - Please sign in the space above using your mouse/finger/stylus.
 +


**PLEASE NOTE**
If you are ALSO purchasing hardware, after you submit this form and complete your payment for your voucher, you must GO back to the online store (in the browser tab behind this one), add your hardware item(s) to your cart and complete checkout/payment for your hardware.  If you are only activating a SIM card without hardware purchase, disregard this message.

FOR ADMINISTRATIVE USE ONLY

Secured by Formsite