top of page

Reconstruction Now
Free Tablet Application

-Suges Kitchen-

Please fill out this form completely. Incomplete forms will delay processing. Thank you!

Does any of the following apply to you? (Please check all that apply)
 NOTE: IF YOU CURRENTLY RECEIVE LIFELINE OR ACP BENEFITS, ACCEPTING THIS TABLET WILL SWITCH YOUR CURRENT PROVIDER AND CANCEL YOUR CURRENT BENEFITS.
Note: Entering your name and clicking "Submit" constitutes as your electronic signature as agreement for your tablet if approved.
rp11.jpg
bottom of page