North American New Account And Order Form

Customer information and AT&T SIM requirements

Request DEMO username & password to the IOT Portal
Request SIMs for Evaluation
Estimated annual usage of SIMs?
Initial order quantity of SIMs?
What type of products will you be using DSP SIMs for?

Please list Manufacturer and Model #’s

Is this for the United States only? If no, please list other countries

Who are you purchasing SIMs from now?

Anticipate your average Data, Voice and SMS needs to be during any given month?

Anticipate your average time for initial use of your SIMs (months)?

Preferred mobile carrier in priority order?
➢ AT&T, VZ, T-Mobile, Sprint, Rogers (2G, 3G/4G, LTE)

Preferred payment method

Preferred Delivery method:

Preferred method of contact: Email, Phone, Fax

How did you learn about DSP?

List any salesperson or consultant that referred you to DSP

Questions and Additional requirements:



Owner

Main Contact

Purchaser

Technical Manager