Affordable Connectivity Program Enrollment

Ready to Enroll in the ACP?

You can enroll in the long term ACP program with Selectel Wireless using your National Verifier Application ID. You will receive a Free Smartphone (New Selectel Wireless Customers) and a $30 Monthly Service plan covered by the Affordable Connectivity Program until the program ends which is expected to be a few years from now.

National Verifier Application ID

First Name

Last Name

Physical Address

City

State

Zip

Email Address

Contact Number

Last 4 of your SSN

Date of Birth

Eligibility - Which Government Program are you currently enrolled in?

New Selectel Wireless Customers will Recieve a Free Smartphone with a New Phone Number

I qualify for the ACP Program and I would like to receive a Free Smartphone with a New Number from Selectel Wireless. I qualify for the ACP Program and I would like to keep my existing Phone and Phone Number. This will require a transfer from your existing Cellphone Service provider to Selectel Wireless and may take up to 48 hours.

Consent - Please read and check each of the following consents.

I consent to enroll in or transfer any existing ACP/EBB benefits to Selectel Wireless to get FREE Unlimited Data(5GB of High Speed), Unlimited Talk minutes, and Unlimited Text Messages every month until the program ends. I acknowledge that the Affordable Connectivity Program is a Government program that reduces my broadband internet service bill. I am choosing Selectel Wireless for my ACP supported broadband service, but understand that my household and I may obtain the ACP benefit from any participating provider. I understand that my household may apply the ACP benefit to any broadband service offering from the participating provider at the same terms available to households that are not eligible for the ACP supported service. I understand that Selectel Wireless may disconnect the household's ACP supported service after 90 consecutive days of non-payment. I acknowledge that my household will be subject to Selectel Wireless’s undiscounted rates and general terms and conditions if the ACP program ends. If I decide to transfer my benefit to another ACP provider but continue to receive service from Selectel Wireless or upon disenrollment from the Affordable Connectivity Program, I understand that I can file a complaint against my provider via the Commission’s Consumer Complaint Center. I acknowledge that Selectel Wireless offers a connected device(tablet) to enroll in the ACP program, but I understand I do not need to accept or purchase the connected device to enroll in the program. I am fully aware of Selectel Wireless’s ACP-supported service plans that are fully covered by the Affordable Connectivity Program benefit and to not have my service disconnected I know I must use this benefit at least once a month. I acknowledge that I must use the supported service at least once per month to continue to receive the ACP supported benefit or my service will be de-enrolled from the program.

Signature

Tablet - Since you qualify for the ACP program you are also eligible to receive a One-Time Benefit that allows you to purchase a Brand New Hyundai HYTab 8" Tablet for $11+tax if you have not already claimed this benefit. Would you be interested in purchasing a tablet?

Yes No

enrollacp

Affordable Connectivity Program Enrollment

Ready to Enroll in the ACP?