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Reconstruction Now
Free Tablet Application

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.
Note: Entering your name and clicking "Submit" constitutes as your electronic signature as agreement for your tablet if approved.
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