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DUE TO CHANGES IN FCC REGULATIONS FOR THE LIFELINE PROGRAM, ALL APPLICANTS AS OF JUNE 1, 2012 MUST PROVIDE PROOF OF GOVERNMENT ASSISTANCE IN ORDER TO COMPLETE ENROLLMENT.
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TSI Registration 1 of 3 Steps

Name


First Last
.....................................................................................................................................................

Address


This is my (check one):  Permanent Address  Temporary Address
If you move, you must update your residential address with TSI Home Phone within 30 days

Address Line 1 (no P.O. Box for res. address)
Address Line 2



City State Zip Code
.....................................................................................................................................................

Contact Information


Email Home Telephone
(Ex: john@abc123.com) (Ex: 305-123-4567)
.......................................................................................................................................................................................................

Personal Information
 
Birthday Social Security Number (Last Four)
(Ex: MM/DD/YYYY) (Ex: 1234)
         
 
     
 
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