=> Phoenix Mobile Air Credit Application

Important Note :- For using our Online Ordering System, you MUST complete 2 steps mentioned below.

Step-1 : You MUST download and completely fill out PHMA Online Ordering System Agreement (Click here to Download) PDF file and Email back completed form to webmaster@phoenixmobileair.com for your account to be processed in the Phoenix Mobile Air, Inc. online ordering system.

Step-2 : You MUST completely fill out required details of the PHMA Website Registration Form below.

Without completing both steps, you are not fully registered and you can not access Online Ordering System.

PHMA Website Registration Form
Note :- Required fields
Note : After Registration, Email ID can not be changed.
Password must be at least 8 characters long and contain at least 1 uppercase, lowercase, number and special character.
Note : After Registration, Company Name can not be changed.
Billing Details :
Shipping Details :
Please enter only digits, not starting with 0.
Please enter only digits, not starting with 0.