MTN Nigeria ::: Products & Services

CUSTOMER INFORMATION
Kindly fill out the form below and click on the submit botton. You will be required to confirm the provided information, after which you click on 'continue' for the information to be submitted. The fields marked * are mandatory.
Title:
First Name:	*
Last Name:	*
E-mail Address:	*
Birthday:	Day / Month *
Alternative number Please provide an alternative phone number on which you can be reached during the day.	*
INFORMATION ON OLD LINE (STOLEN / LOST / DAMAGED)
Was your MTN line:	Stolen? Lost? Damaged?
Enter the phone number of the stolen/lost/damaged line	*
LINE OWNERSHIP VERIFICATION (CUSTOMER MUST ANSWER AT LEAST 2 QUESTIONS CORRECTLY)
How much credit did you load when you last recharged?	*
what 3 GSM numbers do you frequently dial? please insert the full phone number e.g 0803000000	*
	*
	*
INFORMATION ON NEW LINE TO BE USED FOR THE SWAP
Please provide the number of the new line that you bought for this Welcome Back/SWAP. Remember that the line has to be a new line which you have NOT yet inserted into a handset. Phone number of the new line, starting with 0803 0r 0806 or 0703 or 0706:		*
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