PREPAID NEW ACTIVATION ORDER FORM

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

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

SIM CARD CONFIRMATION

If you have already received your SIM cards, please enter the last four digits 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.
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CHOOSE YOUR PREPAID VOUCHER

PLEASE CHOOSE YOUR SATELLITE PHONE NETWORK: *

IRIDIUM GLOBAL

Please indicate the number of vouchers you would like to purchase next to your selection below *

IRIDIUM REGIONAL

Please indicate the number of vouchers you would like to purchase next to your selection below

IRIDIUM GO!

Please indicate the number of vouchers you would like to purchase next to your selection below

INMARSAT GSPS (ISATPHONE)

Please indicate the number of vouchers you would like to purchase next to your selection below

INMARSAT BGAN

Please select the TYPE of BGAN voucher you with to reload *
Please indicate the number of vouchers you would like to purchase next to your selection below

THURAYA SCRATCH CODES

Please indicate the number of vouchers you would like to purchase next to your selection below

ESTIMATED TOTAL FOR ORDER

ONCE FINISHED MAKING SELECTIONS, PLEASE SELECT CALCULATE BELOW TO VIEW YOUR ESTIMATED TOTAL BEFORE ANY APPLICABLE USF FEES, TAXES, OR OTHER FEES ASSESSED AT THE TIME OF INVOICING
Current Total:
$0.00

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

ADDITIONAL TAXES AND FEES

I ACKNOWLEDGE THAT, AS PER THE TERMS AND CONDITIONS LINKED BELOW, I AM RESPONSIBLE FOR THE PAYMENT OF ANY APPLICABLE TAXES, DUTIES OR FEES. OUTFITTER SATELLITE IS CURRENTLY IN THE PROCESS OF IMPLEMENTING SOFTWARE THAT WILL AUTOMATICALLY CALCULATE STATE AND LOCAL SALES TAXES BASED UPON THE CUSTOMER'S SHIP-TO AND/OR BILL-TO ADDRESS. UNTIL THAT TIME, 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 OutfitterSatellite.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.

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

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**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.
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