Expected period of use
for long-term users

—以下から選択してください—2-6 months6mon-1yr1yr-2yrs2yrs-3yrsMore than 3yrs

At the time of application, we will check whether your credit card is valid.
Please enter your credit card information exactly on the card.
If you enter incorrect or invalid credit card information, we will not activate.

*Name on the Card

*Card Type

VISAMASTERAMEXDiscoveryJCB

*Credit Card Number

Please enter without spaces or hyphens.

*Expire Date (Month/Year)

—以下から選択してください—010203040506070809101112 / 20—以下から選択してください—21222324252627282930

*CVV

Address (registered on the credit card)

*Address 1 (Street address)

Address 2 (Apartment, Suite, Unit, Building, Floor, etc.,)

*City

*State

—以下から選択してください—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWashington,D.C.Puerto RicoVirgin Islands of the United States

*Zip code

IMPORTANT NOTES
for Number Transfer

• Your current number needs to be active to complete the Number Transfer process.
• The Number Transfer process is usually done within 24-48 hours.
• If any problem is found with the account, it might take up to 7 business days to complete.
• It is recommended to Number Transfer with us at least 7 days before your account expires with your current carrier.
• We are not responsible for any penalties / charges incurred by your current carrier that may occur during this process.
• You are responsible for contacting your current carrier to get correct information.
• We cannot Number Transfer numbers from a currently exiting H2O wireless number (Account Transfer is not available).

*Mobile Number to transfer

Enter 10-digit number without spaces or hyphens.

*Account Number

Please contact your current carrier for the Account Number.

*PIN Number

Please contact your current carrier for the Number Transfer PIN Number.

*Current Provider

*First Name

*Last Name

*Account Billing Address

*City

*State

—以下から選択してください—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWashington,D.C.Puerto RicoVirgin Islands of the United States

*Zip code

*Desired Activation Date

1. Today(within 24 hours)

Year: —以下から選択してください—2021202220232024202520262027202820292030
Month/Date: —以下から選択してください—010203040506070809101112 / —以下から選択してください—01020304050607080910111213141516171819202122232425262728293031

Please submit the request by 7:00p.m./ET if you wish to activate on the same day.
All requests received after 7:00p.m./ET will be activated the next business day.
If you picked a specific date, it will be activated on the desired date. Please note that the time cannot be specified.
We will send you a confirmation Email with the service information (phone number, how to use service, etc.) after it is activated.