Qualify For a New Tablet or Smart Phone with Unlimited Internet Its a Free of Cost Please enable JavaScript in your browser to complete this form.Name *FirstLastStreet Address *CITY *STATE *ZIP Code *Phone Number *Date of Birth ( YYYY-MM-DD ) *Social Security Number ( Last 4 Digit ) *xxxxx-1234Government Assistance Program *Food StampsMedicaid / MedicalLow Income HomeUnemploymentSocial Security IncomeSupplemental Security IncomeWIC ( Women, Infants & Children )Federal Pell GrantsHousing Choice Voucher (HCV) ProgramTribal TANFTribal Head StartOtherIf you have more then 1 Government Assistance Program from the List write here.Submit No Contracts, No Hidden Fees, In-home WiFi Service Available, Cancel Anytime without Penalty.