Millennium Cell Phone Sign Up Form

Millennium Cell Phone Sign Up Form

Use this form to sign up for new cell phone plans and get your new SIM card delivered by mail. Have questions? Call (727) 505-0483 to get help.

Sale information:

SIM Number:

Plan Type:

Phone Number You Are Porting:

MDN (if port):

Current Cell Provider:

Account (if port):

Account Password:

Customer Name:

Address:

City:

State:

Zip code:

Contact Phone:

Email: