Device Purchase Form
Slick Technology
Name
*
First Name
Last Name
Phone number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I'm selling this device to Slick Technology
*
Yes
No
I'm not going to report this device as lost or stolen (unless it already is as specified below)
*
Agree
Not agree
This device is Lost/Stolen/Blacklisted
*
It’s reported
It’s NOT reported
This device is still financed
*
It’s financed
It’s NOT financed
This is my own device and I paid for it
*
Agree
Not agree
This device was purchased at
Type a label
(Store or website name)
If the authorities are involved for any reason regarding this device I agree that my information might be shared
*
Agree
Not agree
Serial Number / IMEI
I've read and agree to the statements above
Submit
Should be Empty: