Eye WiMAX - Your One Stop Wireless Solution - Mobile WiMAX Pre Order Form

Mobile WiMAX Pre Order Form

In order to be one of the first to receive Mobile Eye WiMAX, please fill in the following pre order form so that we may contact you as soon as it is available.

The fields marked with * are mandatory

Please select which products you would like to pre order or require infomation for:: *

HTC MAX4 Mobile WiMAX + GSM + 3G Phone

MiMAX USB WiMAX Dongel

First Name: *

Surname: *

Company Name (if applicable): *

Postal Address: *

Postcode: *

Contact Telephone Number : *

Email: *

Type of use: *

Additional Requests: *

To ensure that a person, not an automated program, is filling this form, please enter the characters you see in this picture. All letters will be shown in their capitalized form.