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Customer Application

Thank you for your interest in becoming a Reagan Wireless wholesale customer. Complete the application, read the agreement, and sign below. Our team will review it and follow up shortly. Fields marked * are required.

Business Information
Required for tax-exempt purchasing.
Primary Contact
Business Address
Business Details
Additional Information
PDF or image, up to 10 MB.
Government-Issued Photo ID

Prior to any shipment, we'll need a copy of a government-issued ID — a driver's license or passport — as part of our standard OFAC and anti-money-laundering compliance. You're welcome to upload it here, or send it to your Reagan Wireless representative.

Terms & Conditions — Customer Agreement

Please read the full agreement below. You must scroll through and accept it to submit your application.

Typing your full legal name below is your binding electronic signature under the federal E-SIGN Act and applicable state law.

Personal Guaranty Credit customers only
If your wires are prepaid, you do not need to sign the guaranty. The guaranty is required only if you are asking for credit.

Personal Guaranty (required only if credit is extended):

The undersigned (the "Guarantor"), who has a financial interest in the Customer and benefits from the transactions under this Agreement, personally guarantees the Customer's payment of all amounts now or hereafter owed to Reagan Wireless. The Guarantor waives notice of Reagan Wireless's acceptance of and reliance on this guaranty, notice of sales made to the Customer, and notice of the Customer's default.

The Guarantor's obligations are not affected, excused, modified, or impaired by any event, and are not subject to any set-off, counterclaim, or defense the Guarantor or the Customer may have against Reagan Wireless. Reagan Wireless may enforce this guaranty directly against the Guarantor first, without first pursuing or exhausting any other remedy.

The Guarantor agrees to pay all of Reagan Wireless's costs, expenses, and reasonable attorneys' fees (including the value of in-house counsel and any collection-agency fees) incurred in enforcing this guaranty, plus interest of 1.5% per month (or the maximum rate allowed by law, whichever is less) on amounts owed until collected. This guaranty binds the Guarantor's heirs, successors, assignees, and representatives, and benefits Reagan Wireless's successors and assigns. It is governed by Florida law and is performable in Broward County, Florida, where any dispute will be resolved. If more than one person signs as Guarantor, their obligations are joint and several.

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