H2O Wireless Application (Postpaid)

Postpaid accounts require banking information to complete weekly ACH’s. Prepaid accounts do not require banking information, but will have have a small convenience fee per refill.

Click to sign up prepaid

Business Information (Required)

Legal Business Name

Tax ID Number

Store Phone Number

Business Address

Street 2

City

State

Zip

Owner's Information (Required)

First/Last Name Printed

Owner's Home Address

Owner's City

Owner's State

Owner's Zip

Owner's Cell Number

ACH Information (Required)

Name of Bank

Bank Account Number

Bank Routing Number

Please attach a photo or scan of your Driver's License

Please attach a photo or scan of a valid Business License

Please attach a photo or scan of a voided Business Check

Please sign after confirming the above information is correct.
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All the above information is correct, and I consent to the submission of this application to H2O Wireless

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H2O Wireless Application (Postpaid)

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