New Customer Request

This form will set up a new customer record with AMTS. Once submitted you will be further contacted to validate and confirm services.

First Name *

Last Name *

Street Address *

Apartment/Unit Number

City *

Province *

Postal Code *

Phone Number *

Email *

New Install or Transfer *

Product Selection *

How Did You Hear About Us? *

By submitting this form, you are agreeing to our Customer Agreement, Acceptable Use Policy and the AMTS Digital Phone Terms of Service. Do you agree? *