YOU MAY BE ABLE TO KEEP YOUR CURRENT PHONE NUMBER- ENTER YOUR INFORMATION BELOW. IF YOU HAVE ANY QUESTIONS CALL OUR CUSTOMER CARE CENTER AT 1-888-216-1037.

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Lifeline Authorization Form

TO QUALIFY FOR THE LIFELINE DISCOUNT YOU MUST DOWNLOAD THE LIFELINE FORM ABOVE. PLEASE FILL OUT THE LIFELINE FORM AND FAX TO 1-800-290-1713

A Customer Service Representative will contact you shortly to take your order over the phone. We accept credit card, Money Orders, Moneygram, or Cash. This is a Pay-As-You-Go service. We DO NOT require a Contract or Credit Check.