Join CTUA For Free!




Fill in and submit the form below to activate your Cellular Telephone User's Alliance (CTUA) membership.  Your membership is free and you'll have absolutely no financial obligation until and unless you opt to be included in the CTUA group negotiated cellular rates.

By adding your name to the CTUA membership roster, you are under absolutely no obligation in any way.  You are simply authorizing CTUA to include your demographics as part of this consumer buying group.

Your contact information will be used only for valid membership communications and will be kept confidential and not be distributed to any third parties.



   Please provide your membership contact information:


** First name: 

** Last name: 

** Address: 

 

** City: 

** State or province: 

** Zip or postal code: 

** Country: 

** Contact telephone #:  		 (###-###-####)

** E-mail address: 


   Please provide your cellular telephone information:


** Cellular telephone #:  		 (###-###-####)

** Make of cellular telephone: 

** Cellular service provider: 

Contract termination date:  		 if known  (MM/YYYY)


   Please provide your 2nd cellular telephone information (optional):


Cellular telephone #:  		 (###-###-####)

Make of cellular telephone: 

Cellular service provider: 

Contract termination date:  		 if known  (MM/YYYY)


   Please provide your 3rd cellular telephone information (optional):


Cellular telephone #:  		 (###-###-####)

Make of cellular telephone: 

Cellular service provider: 

Contract termination date:  		 if known  (MM/YYYY)

Note:  Fields marked ** are required!

       




Your information will never be distributed to third-parties...















































© 2003:  Cellular Telephone User's Alliance, Inc.