Residential Move Request

* denotes required information

PERSONAL INFORMATION
First Name: *
Last Name: *
Email Address: * (so we can confirm your request) XXX@XXX.XXX
Yes, I agree to receive emails from Sprint advising me of special offers, announcements and service notifications. Yes No *
Your Sprint Account Number: (if you know it)
Your Current Phone Number: * (the one you're leaving) 123-123-1234
Change Sprint FONCARD account only Yes No *
NEW RESIDENCE (where you'll be moving)
Street Address: *
Apt/Suite:
City: *
State:   *
Zip Code: *
Your New Phone Number: * 123-123-1234
Other New Phone Number:
On what date would you like to begin service at the new address? * Select to open a calendar and auto populate your selected date
BILLING ADDRESS (if different from above)
Street Address:
Apt/Suite:
City:
State:
Zip Code:
Please click the correct box to affirm the following statement:
I request that Sprint transfer my current long distance service (including all calling plans, etc.) for all the telephone numbers I have listed to my new address on the start date indicated above.
  Yes No *