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The Lewis & Giddens Group

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Elevator Telecom SIM Card Activation Form

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Need to activate more than one SIM card?
If you’re activating multiple SIM cards or need to order extras, please contact us at activate@elevatortelecom.com or (866) 835-4013.

Contact Information *

First Name*

Last Name*

Business Name*

Email*

Phone Number*

Installation/Service Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Billing Email*

Account number located on SIM card below the barcode (Omit the letter F)*

Cellular Dial Tone*

1 Year at $30 per month

5 Years at $25 per month (Best Value)

Do you require emergency call center monitoring?*

Yes

No

Select Service*

Voice Only ($25 per month)

Voice & Video ($50 per month)

Select Service*

Voice Only ($30 per month)

Voice & Video ($60 per month)

Emergency Notification List (in order of prioritization)

Emergency Name 1*

Emergency Number 1*

Emergency Email 1

Emergency Name 2

Emergency Number 2

Emergency Email 2

Emergency Name 3

Emergency Number 3

Emergency Email 3

VoIP Service (Conversion from Analog to Digital)*

$20 per month

Yes

No

This field is hidden when viewing the form

VoIP Service (Conversion from Analog to Digital)

1 Year at $25 per month

5 Years at $20 per month (BEST VALUE)

Please select your billing cycle*

Annually

Quarterly

Must check all boxes to continue*

Please check your email for the Elevator Telecom Services Agreement. This will be sent by DocuSign and you will receive it in 1-3 minutes. If you have not received it, check your spam or junk folder.

Must check all boxes to continue*

Once the service agreement is complete, please check your email once again for a link to fund your account.

Must check all boxes to continue*

Once payment is made, you will receive a final email with your activated phone number.

Must check all boxes to continue*

Each service selected requires a one-time $10 connection fee

For customer support, please email admin@elevatortelecom.com or call (866) 835-4013.

Elevator Telecom

Send Signature Request after form submission.

Elevator Telecom SIM Card Activation Form​

Elevator Telecom

Elevator Telecom SIM Card Activation Form