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Enter Drawing for a Free BackPack filled with school supplies and a Free Tablet. The winner will be chosen randomly on Aug 2nd, 2024. One Entry Per Household.
First Name
Last Name
Address
City
State
Alabama
Alaska
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California
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Delaware
Florida
Georgia
Hawaii
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Texas
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Zip
Email Address
Contact Phone Number
Current Cellphone Service Provider
Selectel Wireless
AT&T
Boost
Cricket
Metro By PCS
PagePlus
StraightTalk
SImple Mobile
Total By Verizon
TMobile
Verizon
Verizon Prepaid
US Cellular
Other
How many children in your household?
1
2
3
4
5
Do you receive any of the following benefits?
SNAP(foodstamps)
Medicaid
WIC
Social Security Disability Income
Our household does not receive any of these benefits
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Do You Qualify for the Affordable Wireless Program?
