Europe and UK New Account and Order Form

Customer information and M2M SIM requirements

Estimated annual usage of SIMs?
Initial order quantity of SIMs?
What type of products will you be using DSP SIMs for?

Please list Manufacturer and Model #’s

Please list Countries you are present in

Who are you purchasing SIMs from now?

Anticipate your average Data, Voice and SMS needs to be during any given month?

Required Currency (Euro, GBP, USD)?

Preferred payment method

Preferred Delivery method:

Preferred method of contact: Email, Phone, Fax

How did you learn about DSP?

List any salesperson or consultant that referred you to DSP

Questions and Additional requirements:



Owner

Main Contact

Purchaser

Invoice Contact

Authorized SIM Administrator