**FREE** Government Touch Screen Smart Phones - Limited Quantity

Please Read Carefully:

YOU CAN *NOT* QUALIFY IF YOU HAVE RECEIVED A GOVERNMENT PHONE WITHIN THE LAST 12 MONTHS or Use a PO BOX

If you participate in getting EBT (food stamps), you could be eligible for a free touch screen, smart phone with:

- 350 free minutes per month
- 500 mb of data
- Unlimited texting

This program is limited to one phone per household.

- No credit report needed
- No contracts are required
- And you will never get an invoice or bill.

If you get EBT (Food Stamps)

Please fill out the application.

At this time, I can only take applications for those who live in Florida.

We will contact you by phone at our earliest convenience to inform you if we need more information or to give you your approval confirmation.

Is it ok for us to fill out this application to see if you qualify for this Government Smart Phone? (You will still be contacted by either text or phone)

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* 1. Is it ok for us to fill out this application to see if you qualify for this Government Smart Phone? (You will still be contacted by either text or phone)

Which Eligibility Requirement do you have?

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* 2. Which Eligibility Requirement do you have?

What is your Zip-code?

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* 3. What is your Zip-code?

First Name (please double check spelling)

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* 4. First Name (please double check spelling)

Last Name (please double check spelling)

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* 5. Last Name (please double check spelling)

Date Of Birth

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* 6. Date Of Birth

Last 4 Digits of your Social. (Never Share Your Full Social Online)

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* 7. Last 4 Digits of your Social. (Never Share Your Full Social Online)

What is the full address linked to your benefits?

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* 8. What is the full address linked to your benefits?

If you qualify, is the above address, the address you would like the phone to be shipped to?

If No - Please enter the correct address below.
If Yes - Leave this area blank

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* 9. If you qualify, is the above address, the address you would like the phone to be shipped to?

If No - Please enter the correct address below.
If Yes - Leave this area blank

Please provide the best phone number for us to contact you and the best time:

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* 10. Please provide the best phone number for us to contact you and the best time:

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