T-Mobile^® stick together^®

1. Have you been involved in any litigation in the last 5 years?
   Yes No
2. Have you ever, or do you currently, own your own business?
   Yes No
3. Are you currently a retailer of any kind?
   Yes No
4. Have you ever sold wireless products or services?
   Yes No
5. Do you currently have any type of agreement with a T-Mobile affiliated distributor or retailer?
   Yes No
6. Are you currently a wireless provider/agent?
   Yes No
7. Are you currently under a non-compete agreement with any wireless provider or distributor or any other agreement that would affect your ability to perform your duties as an authorized T-Mobile retailer?
   Yes No
8. What opportunity(s) are you interested in?
   I am interested in adding T-Mobile to my existing non-wireless product line.
   I am interested in adding T-Mobile to my existing wireless product line.
   I am interested in opening a T-Mobile exclusive store.
   I am interested in opening multiple new T-Mobile exclusive stores.

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