ConnectBox Activations First Name*Last Name*Email* Jobsite Name*Jobsite Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Storage Location*IMEI Number*Plan*--Select--RedundantPrimaryPrimary Circuit Type*--Select--Vergent-Provided CircuitOther-Provided CircuitData Plan Selection*--Select--4 GB6 GB10 GB15 GB20 GB30 GB40 GB50 GB60 GB80 GB100 GB150 GB200 GBOtherTerm*--Select--Month-To-Month12 Mo.24 Mo.36 Mo.48 Mo.60 Mo.Additional Comments:
