Rental Application

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Please read Terms and Conditions below carefully.
Download the PDF file below and print for your record.

Please Call Us directly if you need to pick up today or day before.
NOTE: Requested plan may not be available during high demand seasons.

Required *

First, Last name *

Phone *

Email *

Email (Confirm) *

Address

Plan *

Number of Rental Device *

Pick up Date (Store hours 10 AM-6 PM) *

Drop off Date (Store hours 10 AM-6 PM) *

Option *

Pick up Store *

Payment Method (VISA / Master Card / American Express / Discover /JCB) *
please pay at the store upon pick up

Promotional code
(h2o Wireless User, active military, JAL USA card user, or other code)

How did you hear about our service?

Other

I have read and agree to the terms and conditions.

	18216 S. Western Ave. Gardena, CA 90248
	Business hours: Daily 10:00AM 〜 7:00PM (Last Walkin 6:30PM)
	Contact Form

	4240 Kearny Mesa Rd., Suite #119, San Diego, CA 92111
	Business hours: Daily 10:00AM 〜 7:00PM (Last Walkin 6:30PM)
	Contact Form

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