WPI - U.S. Cellular Authorized Agent

Business Solutions to keep you connected and help you stay ahead

Call us at 224-612-5909 Ext.1012

or please complete the form below and one of our business consultants will contact you shortly.

Company Name:
First Name:
Last Name:
Title:
Email:
Address 1:
Address 2:
City:
State:
Zip Code:
Telephone:
Extension:
Current Cellular Carrier:
Cellular Phone Number:
What industry best describes you:
I am interested in:	National Coverage & Pooled Plans
	Speed Talk (Walkie-Talkie Feature)
	Corporate/Business Pricing
	Data Product (BlackBerry, Data Cable...)
	Other
Please provide any additional info to help us serve you better: (# of lines needed, type of use: travel, outdoor, offce...)
	______________________________________________
	If you were referred by our store associate, please also include the following:
WPI Store Location:
Associate Name (First Name first):
	______________________________________________