Ultra Mobile Authorized Retailer (AR) 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Date of Authorization' at the top of the form. This is crucial for record-keeping.
3. Fill in your 'Business Name' and 'Authorized Retailer Location'. Ensure accuracy as this information identifies your business.
4. In the 'Principal Signature' section, provide the signature of the principal along with their first and last name, title, and date.
5. Complete the 'Exclusive Master Agent Agreed and Accepted' section with relevant details including business name, phone number, email, title, and date.
6. List any current UltraAgents.com Retailer Codes you have used previously in the designated field.
7. Indicate whether your location is a 'Brick and Mortar'/Permanent Retailer Address by selecting Yes or No. If No, provide an explanation.
8. Decide if you want your retail location displayed on the Ultra Mobile Store locator and provide reasons if opting out.

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