Ubuntu Smartphone
Disclaimer: This pre-order form is intended for use by active Ubuntu Gold Members only.
Member Verification
Disclaimer: Please complete this section to confirm your Ubuntu Gold membership and ensure the accuracy of your provided information. In case of incorrect information submission, a formal amendment must be submitted to info@ubuntugold.com. Please note, under no circumstances will refunds be provided for inaccuracies in the submission. Ensure all details are correct prior to submission to avoid any complications.
Member Name
*
First Name
Middle Name
Last Name
Member Email
example@example.com
Member Phone Number
Please enter a valid phone number.
Referral Name
*
First Name
Middle Name
Last Name
Referral Email
example@example.com
Referral Phone Number
Please enter a valid phone number.
Membership Type
*
Silver Member
Gold Member
Platinum VIP Member
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Product
Product Selection
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Ubuntu Smartphone: Silver Member
Pre-order: $2400 per device for 12 months of phone and internet service (no warranty included)
$
2,400.00
Ubuntu Smartphone: Gold Member
Pre-order: $2200 per device for 12 months of phone and internet service (1-year warranty included)
$
2,200.00
Ubuntu Smartphone: Platinum VIP Member
Pre-order: $2000 per device for 12 months of phone and internet service (2-years warranty included)
$
2,000.00
Warranty
1-year Warranty
$
25.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
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Acknowledgement
Disclaimer: By submitting this form, you agree to pay the full price of the selected smartphone model, based on your membership type. Please note that this payment is for the pre-order of the device and is non-refundable. The smartphone will be shipped directly to you as soon as it becomes available. Your privacy is important to us; all personal and payment information provided will be handled with strict confidentiality.
Signature
*
PRINT NAME
*
First Name
Middle Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
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