1. Affordable Connectivity Program (ACP) Consent

By continuing with your application, you affirm and understand that the Affordable Connectivity Program is an FCC benefit program that reduces your monthly Broadband invoice. The program will be in effect for an indefinite amount of time. At the conclusion of the program, you will be given 30 days’ notice and may elect to keep your plan at an undiscounted rate. As a participant you may transfer your ACP benefit to another provider. The Affordable Connectivity Program is limited to one monthly service discount and one device discount per household.

By my signing the FCC application, I agree to accept U2ConnectNow ACP Terms & Conditions located at https://u2connectnow.com/acp

I understand that I am not allowed multiple ACP program benefits with the same or different providers and I consent to enroll or transfer into the U2ConnectNow Affordable Connectivity Program.

A $10.99 co-pay for Tablet when the customer qualifies for the device.

I agree, under penalty of perjury, to the following statements: (You must initial next to each statement).

However,If I qualify for ACP,I consent to U2ConnectNow enrolling me into its ACP services in the event U2ConnectNow is an eligible Telecommunications Carrier(ETC) in my state.

I (or my dependent or other person in my household) currently get benefits from the government program(s) listed on this form, experienced a substantial loss of income since February 29, 2020, or my annual household income is 200% or less than the Federal Poverty Guidelines(the amount listed in the Federal Poverty Guidelines table on this form).

I agree that if I move I will give my service provider my new address within 30 days.

I understand that I have to tell my service provider within 30 days if I do not qualify for the ACP Program anymore, including:

1. I, or the person in my household that qualifies, do not qualify through a government program or income anymore.

2. Either I or someone in my household gets more than one ACP Program benefit..

I know that my household can only get one ACP Program benefit and to the best of my knowledge, my household is not getting more than one ACP Program benefit. I understand that I can only receive one connected device (desktop, laptop, or tablet) through the ACP Program, even if I switch ACP providers.

I agree that all of the information I provide on this form may be collected, used, shared and retained for the purposes of applying for and/ or receiving the ACP Program benefit. I understand that if this information is not provided to the Program Administrator, I will not be able to get ACP Program benefits. If the laws of my state or Tribal government require it, I agree that the state or Tribal government may share information about my benefits for a qualifying program with the ACP Program Administrator. The information shared by the state or Tribal government will be used only to help find out if I can get an ACP Program benefit.

For my household, I affirm and understand that the ACP Program is a temporary federal government subsidy that reduces my broadband internet access service bill and at the conclusion of the program or if I lose my eligibility, my household will be subject to the provider’s undiscounted general rates, terms, and conditions if my household continues to subscribe to the service.

All the answers and agreements that I provided on this form are true and correct to the best of my knowledge.

I know that willingly giving false or fraudulent information to get ACP Program benefits is punishable by law and can result in fines, jail time, de-enrollment, or being barred from the program.

I was truthful about whether or not I am a resident of Tribal lands, as defined in the “Your Information” section of this form.

The ACP Administrator or my service provider may have to check whether I still qualify at any time. If I need to recertify my ACP benefit, I understand that I have to respond by the deadline or I will be removed from the Affordable Connectivity Program and my ACP benefit will stop.

2. Terms and Conditions

By my signing the FCC application, I agree to accept U2ConnectNow Terms & Conditions located at https://u2connectnow.com/

3. ACP Benefit Transfer

I understand that I am not allowed multiple ACP program benefits with the same or different providers and I consent to enroll or transfer into the U2ConnectNow Affordable Connectivity Program.

I authorize U2ConnectNow or its duly appointed representative to: (1) access any records required to verify my statements herein; (2) to confirm my continued eligibility for Affordable Connectivity Program (ACP) 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 ACP benefit.

U2ConnectNow is an Affordable Connectivity Program (ACP) supported service. Upon qualification by National Verifier. ACP 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. ACP 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 ACP 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 Affordable Connectivity Program. The ACP 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 U2ConnectNow or its duly appointed agent either using my telephone number assigned by U2ConnectNow or provided by me herein or later. I understand this is not a condition of purchase.

I agree that if I move I will give my service provider my new address within 30 days.

I agree that my service provider can give the ACP Program Administrator all of the information I am giving. I understand that this information is meant to help run the ACP Program and that if I do not let them give it to the Administrator. I will not be able to get ACP.

All the answers and agreements that I provided on this form are true and correct to the best of my knowledge.

My service provider may have to check whether I still qualify at any time. If I need to recertify (renew) my ACP benefit. I understand that I have to respond by the deadline provided or I will be removed from the Lifeline Program and my ACP benefit will stop.

I agree to all of the above provided and disclosed terms.

I understand that I am not allowed multiple ACP program benefits with the same or different providers AND I consent to enroll or transfer into the U2Connectnow Affordable Connectivity Program.

I hereby certify that I am receiving ACP benefits from another provider. With this application. I would like to transfer my benefit to U2Connectnow.

I hereby certify that to the best of my knowledge my household is not receiving an ACP service benefit and I would like to enroll for an ACP benefit with U2Connectnow.

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