Agent App

Enter the ZIP Code to start the process

Please enter valid 5 digit ZIP Code

First Name* First Name is required

Last Name* Last Name is required

Address*

Location * Agent location is required

DOB*

Month is required

Day is required

Year is required

Beneficiary DOB is required

Agent Signature:

Attention!

Use your mouse to draw your signature into the field below. Once done.
Click the "Continue" Button to save your signature.

Enrollment ID:

* Mandatory fields

Enrollment ID:

What is your home address?

The address where you will get service. Do not use a P.O. Box.

* Mandatory fields

Address1 * Address1 is required

Address2 Apartment, Unit etc is required

Zip Code * Zip Code is required

City * City is required

State * State is required

Is this a temporary address? *

Yes

Address type is required

Enrollment ID:

Do you live with another adult?

Adults are people who are 18 years or older, or who are emancipated minors. This can include a spouse, domestic partner, parent, adult son or daughter, adult in your family, adult roommate, etc.

Enrollment ID:

Do you share money (income and expenses) with them?

This can be cost of bills, food, etc., and income. if you are married, you should check yes for this question.

We are sorry

You do not qualify for lifeline

This is because someone in your household already gets the benefit. You are only allowed to get one lifeline discount per household, not per person.

Questions?

Call us at: 1-888-224-3213.

Enrollment ID:

Qualify for the Lifeline

Select the applicable program from below to show that you, your dependent, or someone in your household qualifies for Lifeline. You can qualify through some government assistance programs or through your income (you do not need to qualify through both).
Note: You can select only one from the programs listed below.

% of Federal Poverty Guidelines

Select

Enrollment ID:

Required Proof Documents:
Status
1. Proof of Qualifying See valid proof types
Required
2. Proof of Identity (Must include name and birthdate) See valid types of ID
Required
3.Proof of Vacant Address See valid types of Vacant Address
Required
4. Proof of TPIV Fail See valid types of TPIV Fail
Required

Upload Your Proof of Qualifying
Follow these easy steps to upload your proof of qualifying now:

To complete your application and get your FREE Smartphone with FREE Monthly Service, it is required that you provide Proof of Qualifying. You can view the full list of acceptable proof down below:

Upload one of the following proof documents from your device:

Food Stamp Benefit Card / EBT Card
Medicaid ID Card / Program Award Letter
Paycheck Stub, Income Statement From Employer or W2
Not sure what proof can be used?

Follow these 3 easy steps to submit your proof of qualifying

Get your proof of qualifying ready. Make sure you have an electronic copy of your proof showing you participate in a government program or that you qualify with low income.
Click the "Choose File" button below, and select the file you'd like to upload.
Click the "Open" button after you've selected your file.

Choose File Photo / Upload

Enrollment ID:

Required Proof Documents:
Status
1. Proof of Qualifying See valid proof types
2. Proof of Identity (Must include name and birthdate) See valid types of ID
Required
3.Proof of Vacant Address See valid types of Vacant Address
Required
4. Proof of TPIV Fail See valid types of TPIV Fail
Required

Upload Your Proof of Identity
Submit a copy of your proof of identity (Must include Full Name and Date of Birth).

To complete your application and get your FREE Smartphone with FREE Monthly Service, it is required that you provide Proof of Identity that includes your name and date of birth. You can find a list of acceptable proof on the list below:

Upload one of the following proof documents from your device:

Driver's License
US Government ID with DOB/SSN
Birth Certificate
Social Security Card
Military ID
US Passport
or view other Acceptable Proof of Identity

Follow these 3 easy steps to upload your proof of identity

Get your proof of identity ready. Make sure you have an electronic copy of your proof document(s) available on this device.
Click the "Choose File" button below, and select the file you'd like to upload.
Click the "Open" button after you've selected your file.

Choose File Photo / Upload

Enrollment ID:

Upload Additional Proofs(If Any)
Follow these easy steps to upload your additional proofs:

In order to complete the application and get FREE Smartphone with FREE Monthly Service, if any additional proofs are required, kindly upload them here.

Follow these 3 easy steps to submit additional proof

Get your additional proof ready. Make sure you have an electronic copy of your additional proof.
Click the "Choose File" button below, and select the file you'd like to upload.
Click the "Open" button after you've selected your file.

Choose File Photo / Upload

Enrollment ID:

Required Proof Documents:
Status
1. Proof of Qualifying See valid proof types
2. Proof of Identity (Must include name and birthdate) See valid types of ID
3.Proof of Vacant Address See valid types of Vacant Address
Required
4. Proof of TPIV Fail See valid types of TPIV Fail
Required

Upload Your Proof of Vacant Address
Submit a copy of your proof of Vacant Address (Must include Name and Address).

To complete your application and get your FREE Smartphone with FREE Monthly Service, it is required that you provide Proof of Vacant Address that includes your Name and Address. You can find a list of acceptable proof on the list below:

Upload one of the following proof documents from your computer:

A recent utility bill (from within the last 3 months)
A recent government issued ID (from within the last 1 year)
A lease or rental agreement (from within the last year)
The proof of participation award letter, government issued proof document or other document from the agency that oversees the government support
program in which you participate and which includes your address (from within the last 1 year)
or view other Acceptable Proof of Vacant Address

Follow these 3 easy steps to upload your proof of Vacant Address

Get your proof of Vacant Address ready. Make sure you have an electronic copy of your proof document(s) available on this computer.
Click the "Choose File" button below, and select the file you'd like to upload.
Click the "Open" button after you've selected your file.

Choose File Photo / Upload

Enrollment ID:

Required Proof Documents:
Status
1. Proof of Qualifying See valid proof types
2. Proof of Identity (Must include name and birthdate) See valid types of ID
3.Proof of Vacant Address See valid types of Vacant Address
4. Proof of TPIV Fail See valid types of TPIV Fail
Required

Upload Your Proof of TPIV Fail
Submit a copy of your proof of TPIV Fail (Must include Full Name, Date of Birth and SSN Number as per required).

To complete your application and get your FREE Smartphone with FREE Monthly Service, it is required that you provide Proof of TPIV Fail that includes your Full Name, Date of Birth and SSN Number as per required. You can find a list of acceptable proof on the list below:

Upload one of the following proof documents from your computer:

Unexpired driver's license
Birth certificate
Certificate of naturalization
Permanent Resident Card or Permanent Resident Alien Card
Unexpired weapons permit
Unexpired passport
or view other Acceptable Proof of TPIV Fail

Follow these 5 easy steps to upload your proof of tpiv fail

Get your proof of tpiv fail ready. Make sure you have an electronic copy of your proof document(s) available on this computer.
Choose relevant proof type (1 or 2) using the radio button.
Select document type from the proof category dropdown.
Click the "Choose File" button below, and select the file you'd like to upload.
Click the "Open" button after you've selected your file.

Please select TPIV Proof Documents Category

1- Upload document to confirm Full Name and Date of Birth AND to confirm Full Name and Last 4 digits of SSN/Tribal ID

2- Upload document to confirm Full Name and Date of Birth AND Last 4 digits of SSN/Tribal ID

Choose File Photo / Upload

Enrollment ID:

Activation Type *

New

PortIn

Activation Type is required

Provide PortIn Details

* Mandatory fields

First Name * First Name is required

Last Name * Last Name is required

Address1 * Address1 is required

Address2

Zip Code * Zip Code is required

State * State is required

City * City is required

Port Account Number * Port Account Number is required

Port Account Password * Port Account Password is required

Port Last 4 Digits SSN * Port SSN is required Port SSN should be in 4 digit.

Port Number * Port Number is required Port Number can't be start from 0 or 1.

Enrollment ID:

Select your plan

Enrollment ID:

Select your device

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$10.01

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Need a tablet? Receive a brand new cellular tablet for only $10.01.

Enrollment ID:

Preview Your Details

Name:	Doe
City:	Dummy
Zip code:	654789
Telephone:	9874563215
DOB:	01-01-1989

Service Address:
State:
Email:
SSN:
Plan:

I authorize Goknows or its duly appointed representative to: (1) access any records required to verify my statements herein; (2) to confirm my continued eligibility for assistance; (3) to update my address to proper mailing address format; (4) to provide my name, telephone number, and address to the Universal Service Administrative Company (USAC), the administrator of the program and/ or its agents for the purpose of verifying that I do not receive more than one benefit.

Goknows is an supported service. is a federal benefit and only eligible subscribers may enroll. Customers who willfully make false statements to obtain the benefit can be punished by fine, imprisonment, or can be barred from the program. is available for only one benefit per household. A household is defined as any individual or group of individuals who live together at the same address and share income and expenses. A household is not permitted to receive benefits from multiple providers. Violation of the one-per-household rule constitutes a violation of FCC rules and will result in the customers de-enrollment from the . The benefit is non-transferable, and a customer may not transfer his or her benefit to another person.

I further consent to receive calls and/ or text messages that may deliver auto dialed or pre-recorded messages from Goknows or its duly appointed agent either using my telephone number assigned by Goknows or provided by me herein or later. I understand this is not a condition of purchase.

Penalty of Perjury under title 18 U.S. Code § 1621, willfully subscribes as true any material matter which he does not believe to be true; is guilty of perjury and shall, except as otherwise expressly provided by law, be fined under this title, or imprisoned not more than five years, or both. I acknowledge that providing fraudulent documentation or information to receive assistance is punishable by law.

I understand the information I provide will be shared with the National Verifier for the sole purposes of confirming my eligibility for the Affordable Connectivity Program and establishing an account with Go Technology Management, LLC.

I authorize ETC or its duly appointed representative to: (1) access any records required to verify my statements herein; (2) to confirm my continued eligibility for lifeline assistance; (3) to update my address to proper mailing address format; (4) to provide my name, telephone number, and address to the universal service Administrative company (USAC) (the administrator of the program) and/or its agents for the purpose of verifying that I do not receive more than one lifeline benefit; and (5) authorize social service agency representatives to discuss with and/or provide information to ETC verifying my participation in benefit programs that qualify me for lifeline assistance, and (6) authorize ETC to share my information with my social service agency representatives for the purposes of improved communications including adding me to messaging systems, reporting service status and usage.

ETC is a lifeline supported service. Lifeline is federal benefit, and only eligible subscribers may enroll. Customers who willfully make false statements in order to obtain the benefit can be punished by fine for imprisonment or can be barred from the program. Lifeline is available for only one line per household. A household is defined as any individual or group of individual who live together at the same address and share income and expenses. A Household is not permitted to receive lifeline benefits from multiple providers. Violation of the one-per-household rule constitutes a violation of FCC rules, and will result in the customer's de-enrollment from Lifeline. Lifeline is a non-transferable benefit, and a customer may not transfer his or her benefit to another person.

I further consent to receive calls and/or text messages that may deliver autodialed or pre-recorded messages from my social service agency, Goknows or its duly appointed agent either using my telephone number assigned by Goknows or provided by me herein or at a later date. I understand this is not a condition of purchase. Penalty of Perjury Under title 18 U.S.C. § 1621, whoever willfully states as true any material matter which he does not believe to be true in a statement under penalty of perjury, is guilty of perjury and shall, except as otherwise expressly provided by law, be fined or imprisoned not more than five years, or both. I acknowledge that providing fraudulent documentation/information in order to receive assistance is punishable by law.

. I understand the information I provide will be shared with the National Verifier for the sole purposes of confirming my eligibility for the Affordable Connectivity Program and establishing an account with Go Technology Management, LLC.

By clicking the confirm Signature button, you are electronically signing this form.

Electronically Signed by March 22, 2023

Enrollment ID:

* Mandatory fields

Card Details

Card Number Please enter valid Credit Card Number

Name on Card Please enter Name on Card

Card Type Please select Card Type

Expiration Date

Please select Expiration Month

Please select Expiration Year

CVV Please enter Card Code

Billing Address1 Please enter Billing Address1

Billing Address2

City

State

ZIP Code Please enter Billing Zipcode

Payment Details

Plan Cost

Processing Fee

Tax

Total Amount

Congratulations!

Registration Successful

Your Enrollment ID is :

Your order is pending, A reviewer will start to review soon.

Enter the ZIP Code to start the process

Affordable Connectivity Program (ACP) Consent

What is your home address?

Do you live with another adult?

Does your spouse or domestic partner (that is, someone you are married to or in a relationship with) already receive a Lifeline-discounted phone? (check no if you do not have a spouse or partner)

Do they get Lifeline?

Other than a spouse or partner, do other adults (people over the age of 18 or emancipated minors) live with you at your address?

Do you share money (income and expenses) with them?

Do you share living expenses (bills, food, etc.) and share income (either your income, the other person's income or both incomes together) with at least one of the adults listed above in question #2?

You do not qualify for lifeline

Questions?

Qualify for the Lifeline

PENALTY OF PERJURY

PLEASE READ AND INITIAL THE FOLLOWING. BY SIGNING & INITIALING BELOW, YOU ARE AGREEING TO THE FOLLOWING PROGRAM RULES:

Terms and Conditions

Authorizations

PLEASE READ AND INITIAL THE FOLLOWING. BY SIGNING & INITIALING BELOW, YOU ARE AGREEING TO THE FOLLOWING PROGRAM RULES:

Additional Certifications:

Affordable Connectivity Program Agreement

PLEASE CAREFULLY READ AND AGREE BY INITIALING ALL THE BOXES FOR THE FOLLOWING STATEMENTS. BY CLICKING THE BOXES BELOW, YOU AGREE TO E-SIGN THE STATEMENTS BELOW WITH YOUR INITIALS AND THAT THE STATEMENTS INITIALED ARE ENFORCEABLE.

Terms and Conditions

ACP Benefit Transfer

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Card Details

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