Dr. Abe Chames High School Cell Phone Purchase Form

Student Name*

Grade*

Please Confirm*

I would like my son to have a cell phone on the Yeshivas cell phone plan.

No other phones will be allowed

Will you want to port over an existing number?*

No. If your son doesn't already have a Yeshiva phone, he will receive a new phone number from T-Mobile. Yes.

The Yeshiva will gladly port over your phone number from a different provider, however any early termination or other fees that your previous provider charges will be your responsibility.

Below is the information we need to port your number over. Please fill it out to the best of your ability. If you need to, you can leave fields blank and email the information to dachs@ytcte.org

Current Service Provider

Account Number

Account Pin Number

Account Contact Email Address

Who we should contact if we need additional information

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Email*

Please Confirm*

The phone is provided at no cost. However, I understand that there will be a replacement fee should the phone be lost or damaged.

Please Confirm*

My son will not bring any other phone(s) to Yeshiva.

Signature*

[clear]

Use your mouse or finger to draw your signature above

Student Information