Please fill out the following form to request an employee purchase plan:

Name

First Name

Last Name

Middle Initial

Home Address

Postal Code

Contact Number

(###)

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TELUS Client

Check here if you are an Existing Client with TELUS.

Existing Client with TELUS

Porting a Number

If you are porting (transferring) an existing number, enter it here.

(###)

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Employee Email Address

Employee ID Number

Hardware Choice

Voice Plan Choice

Data Plan Choice