Step 1 of 5
A. Account Information
Last Name	First Name	M.I.
Number & Street	Address Line 2
City	Prov/State Please choose Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Alaska Alabama Arkansas American Samoa Arizona California Colorado Connecticut D.C. Delaware Florida Micronesia Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Marshall Islands Michigan Minnesota Missouri Marianas Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Palau Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming Military Americas Military Europe/ME/Canada Military Pacific	Post/Zip
Current Phone No.
E-mail address	Retype E-mail address	Order confirmation will be sent to this address!
Coupon Number   Valid promotion coupon
Sponsor User ID   If no sponsor, enter 00000000.
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Step 2 of 5

B. 911 Service

I will only use my XLVOX™ service from the address I stated.   Why is this important?  I will use my XLVOX™ service when I travel.

C. Telephone Number Transfer

I wish to transfer my existing home phone number to XLVOX service. ( Check if your number can be migrated):         For phone number migrations, do not contact your current local telephone company!