Dealer Registration Form In order to register as a Dealer to sell the Air-time products and to receive commission please complete the form below: Please complete all necessary fields Legal Business Name (required) DBA (required) First Name (required) Last Name (required) Your Email (required) Primary Phone (required) Mobile Phone Street Address (required) City (required) State (required) Please Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code (required) Federal Tax ID or FEIN (required) Your ISO or Agent's ID Optional Message [recaptcha]