Non-Exclusive Dealer

Thank you for your interest in becoming a Mobilicity Non-Exclusive Dealer. Please complete the form below and we will reply with the appropriate information.


Non-Exclusive Dealer Information Form
* Company Name
* Company Address
* City
* Province
* Postal Code
* Phone Number
* Email Address
Fax Number
* Primary Contact Name
* Primary Contact Number
Store Hours
How many retail locations do you currently have?
Please provide the addresses of your retail locations.
What kind of products and services do you currently offer?
Do you currently sell wireless products and services?
   
If yes, what brands do you sell?
* What is the primary language of your business?
What other languages do you currently speak to serve your customers?
Can you display a sign outside your retail location(s)?
   
* Why would you like to invest in becoming a Mobilicity non-exclusive dealer?