| Customer or Order No. |
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| Your Email Address |
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| Your Phone Model |
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| Select your card type: |
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| The ICCID of Your SIM Card |
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| Your ordered Telus Mobile Plan |
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| Destination Airport in Canada |
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| Date on which we activate the balance |
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| Your return date |
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I acknowledge that my smartphone must support the frequencies required by Telus Mobile. Without these, I will have no reception.
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| Security Check |
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