Thank you for submitting a request to lease Southwire's SIMpull™ Reels and Cradles. Upon completing this form, the contract process will begin and you will be contacted by a Southwire employee. Please note that a purchase order will also be required to complete the contract.

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SIMpull™ Reel Annual Lease: • Must maintain reels for at least 12 months to avoid cancellation fees. • Pricing: $450 per reel per month SIMpull™ Reel Short Term Lease: • No minimum time requirement • Cancel at any time • Pricing: $550 per reel per month SIMpull™ Cradle Lease: • Cradles can be added to your lease • Pricing: $100 per cradle per month regardless of annual or short term leases

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Information of the person submitting this form (Required.)

Lease Contract Information

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Please fill in the information below for the customer representative who will be responsible for signing the lease contract. (Required.)

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Has this company leased SIMpull™ Reels before?

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Please select the number of SIMpull™ Reels to be leased. (Required.)

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Will these SIMpull™ Reels be leased annual or short-term? (Required.)

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Please select the number of SIMpull™ Cradles to be leased. (Required.)

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Anticipated Date Needed

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Shipping Information

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Please fill in the company name and individual who should receive the SIMpull™ Reels and/or Cradles? (Required.)

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Please fill in shipping address for where SIMpull™ Reels and/or Cradles should be delivered. (Required.)

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