* 1. Do you currently have cell phone service ?

* 2. Which of the following mobile or cell phone service providers do you currently have an account with? (Check all that apply)

* 3. Does anyone in your household receive any of the following ?

* 4. Have you ever had wireless service with Safelink Wireless ?

* 5. This is for statistical purposes only , In what zip code is your home located ?

* 6. If you are interested in being contacted by a Safelink wireless representative about free cell phone service , please enter your email below .

* 7. Thank you for taking the time out and helping us .