Please complete the following application form. Name First(*) Last(*) Email (*) Email Me in EnglishFrench Phone (1) Cell (1)Carrier (2) Please Select!Aliant CanadaBell MobilityChatrFidoFreedom MobileKoodo MobileLynx MobilityMTS MobilityN/APC TelecomPresident’s ChoiceRogers WirelessSaskTelTelus MobilityVirgin MobileWind Mobile Launch Monitor: Brand Model #: Time Zone AtlanticCentralEasternMountainNewfoundlandPacific Do the Math (*) = Comment (*) Required (1) A Phone or Cell (2) Required when Cell is Specified.
