It Happens Insurance Agreement

1

Please verify that you are human* This field is required.

2

Name* This field is required.

First Name

Last Name

3

Phone Number* This field is required.

4

Email Address* This field is required.

example@example.com

5

Billing Address: Street

Street Address

Address Line #2

City

6

Billing Address: State

7

Billing Address: ZipcodePostal Code

8

It Happens Insurance Plan Selection

Device Protection Plus (Accidental Damage, Loss, Theft, & Malfunction)

Device Protection (Accidental Damage, Loss, & Theft)

Device Protection Extended Warranty (Malfunction)

9

Device Manufacturer* This field is required.Example: Apple, Samsung, Google, LG, etc.

10

Device Model* This field is required.Example: iPhone 7, Galaxy S8, Pixel 2 XL, etc.

11

Device Color* This field is required.Example: Black, White, Silver, Gold, etc.

12

Device Storage Capacity* This field is required.Example: 256GB, 128GB, 64GB, 32GB, etc.

13

Device IMEI* This field is required.Enter *#06# on your phone's dial pad.

14

When did you purchase your device?* This field is required.

Date

15

It Happens Insurance Agreement* This field is required.Please read the agreement linked below if you have any questions please contact an agent.

16

Signature* This field is required.

17

Unfortunately, we are not able to provide insurance to customers who currently live in {billingAddress39}.

Please feel free to check back at a later date or visit wingalpha.com/it-happens to see the states where we are currently able to provide insurance.

We're always working on adding more states so that all Wing users can be covered!