All required fields below must be filled out to submit your location and for T-Mobile to review as a potential location for a T-Mobile Facility. Please note that T-Mobile will only contact you if we feel that you are a viable candidate.  Your information will be kept on file as a potential future location.
Your Contact Info: * Required
* First Name: * Last Name:
Address: City:
State: Zip:
* Phone: Fax:
* Email:    

The Potential Location Information: * Required
* Address:   
* City:
   * State:     * Zip: 
Property / Parcel#:
Section /
Township / Range:
Latitude:
Longitude:
Ground Elevation:   Feet
Additional Property Notes / Comments:
ADDITIONAL TERMS OF USE

THE SUBMISSION BY YOU OF THIS FORM AND ANY SUBSEQUENT INFORMATION DOES NOT REPRESENT ACCEPTANCE OR AN UNDERSTANDING TO ENTER INTO AN AGREEMENT FOR THE USE OF YOUR PROPERTY UNLESS AND UNTIL A CONTRACT IS FULLY EXECUTED BETWEEN THE PARTIES.

T-MOBILE WILL BE FREE TO USE, IN ITS SOLE DISCRETION, THE INFORMATION CONTAINED IN THIS AND ANY SUBSEQUENT SUBMISSION BY YOU, IN ANY LAWFUL MANNER INCLUDING WITHOUT LIMITATION, TO EVALUATE THE SUITABLITY OF YOUR PROPERTY.