ACTIVATION

membership desired Select type of coverage

personal information

First Name*

Middle Initial

Last Name*

Email Address*

Street Address*

Apt/Unit

City*

State*

ZIP Code*

Cell Phone*

*Required Field

Device Information

Device IMEI or MEID Number*

Device Phone Number*

Wireless Carrier*

Make*

Model*

Color*

Storage* (built in storage, ie 128gb)

Purchase Date of device* (MM/DD/YYYY)

credit card information

Credit Card*

Name On Credit Card*

Credit Card Number*

Expiration Month*

Expiration Year*

*Required Field

By clicking “Submit”, I consent for Drive America or it's partners below" to call, text or email me (using the contact information provided above) with additional information and offers. I understand that communications may be sent using an automated dialing system and that consent is not a condition of purchase. I also agree to the privacy policy.

By clicking “Submit”, I agree to the Protect My Phone Privacy Policy and Terms and Conditions