¿Te gustaría aplicar para obtener un telefono y una tablet con datos de navegación gratis por un año?Solo debes llenar el siguiente formulario Name Last name Email phone number Address Zip Code Last 4 number SSN Upload Current ID Upload Benefits Do you have health insurance? Yes No Mark with X if you belong to any of these programs or benefits Medicaid Snap ( Supplemental Nutrition Assistance Program) Wic ( Women Infants & Children) Apply based on income (200% of federal poverty guidelines ) National School Lunch ( School breakfast programs ) Federal Pell Grant Section 8 Housing Veterans Pension and Survivors Benefit Program Supplemental Security Income SSI Number of members in your family Income per year in USD See table of federal poverty REFERRAL 1 Name Last name Phone number Email REFERRAL 2 Name Last name Phone number Email Send