Sign Up as ACP Customer

By continuing with your application you are choosing to participate in the Emergency Broadband Benefit (EBB) Program. This offer provides UNLIMITED Data, Talk, and Text. Once the benefits are available, they will be automatically added to your account. This program will end after the Public Health Emergency no longer exists, or as deemed by the FCC. Once the program is over, your plan will revert back to the standard Lifeline offer. You may also choose to keep this UNLIMITED plan but will be subject to the standard rates. We will notify you when there is a change to the program. As a participant, you may transfer the EBB Program benefit to another provider at any time. This is limited to one per household, and is subject to FCC approval.

I understand that the one-per-household limit is a Federal Communications Commission (FCC) rule and I will lose my Lifeline benefit if I break this rule.

I understand that Culture Wireless LLC is working in partnership with City Communications in Woodstock, GA to provide you access to the EBB program.

I consent to apply and/or transfer my EBB Benefits to Culture Wireless and City Communications and and transition to Lifeline only service when the EBB Benefits ends. I understand I am under no obligation to purchase the unlimited service and will receive the free Lifeline service, if I qualify, after the EBB Benefits program ends.

I authorize Culture Wireless, to collect, use and share your information, including but not limited to information required for the purpose of establishing eligibility for and enrolling in the program, and including, but not limited to, full name, address, date of birth, social security number, as well as other personal information provided during this process with (USAC) and other third parties needed to process your application.

I participate in the designated qualifying program or have income at or below the level specified above and will provide documentation of eligibility if required to do so. I affirm and understand that the EBB Program is a temporary Federal Government and depends on government funds.

I understand that I must notify Culture Wireless within 30 days if I no longer participate in the qualifying program or no longer meet the income criteria, if I or another member of my household obtains Lifeline service from another carrier, or, for any other reason, I no longer qualify for Lifeline. I acknowledge that I may not have multiple Lifeline Program benefits or EBB benefits with the same or different providers. I acknowledge that Culture Wireless and City Communications have clearly disclosed to me that I may obtain broadband service by the EBB program from any other participating provider of my choosing, and I may transfer my EBB enrollment to another provider at any time.

I understand I am required of the following: I may be required to recertify, or reverify my continued eligibility for benefits at any time, and failure to do so will result in the termination of my benefits. I am required to use my Culture Wireless and City Communications service at least once every 30 days, or my service will be suspended, subject to a 15 day period which I may use the service or contact Culture Wireless to confirm that I want to continue receiving their service.

If I change my address, I will provide my new address to Culture Wireless within 30 days. I acknowledge and consent that Culture Wireless may make calls, send emails, and/or send text messages to me at any telephone numbers associated with my account, including wireless and other personal telephone numbers that could result in charges to me.

My household will receive only one Lifeline and one EBB benefit and to the best of my knowledge, my household and/or spouse does not already receive a Lifeline benefit or EBB benefit. I do not share living expenses and income with any other adult who currently resides at my address and is receiving Lifeline or EBB Benefits.

The information contained in this application and agreement is true and accurate to the best of my knowledge, and I acknowledge that providing false or fraudulent information to obtain benefits is punishable by law. I understand that the date of my application shall be based upon when I became eligible to receive service at provider’s sole discretion. I have been truthful regarding my status as a resident of Tribal lands, as defined in this form.

I authorize Culture Wireless or its duly appointed representative to: (1) access any records to verify my statements herein; (2) to confirm my continued eligibility for; (3) to update my address to a proper format; (4) to provide any and all of the information related to my account including but not limited to my name and address to the Universal Service Administrative Company (USAC) and/or its agents for the purpose of verifying that I only receive one Lifeline and EBB benefit; and (5) authorize social service agency representatives to discuss with and/or provide information to Q Link Wireless verifying my participation in benefit program(s) that qualifies me for assistance.

I consent that Culture Wireless may transmit the following information to the Universal Service Administrative Company (USAC) for the proper administration of the EBB program: my full name, full residential address, date of birth, the telephone number associated with my EBB service, the date on which my EBB discount benefit started, the date on which my EBB discount benefit ended, if it has ended, the amount of support required for my account and how I qualified for the EBB program. Failure to provide consent will result in me being denied the EBB service and/or the connected device benefit.

Plan Name: Culture 1000

Price: $75

Account Information

Create your Login Username and Password

What is your name?

What is your phone number?

What is your Home Address?

If you have applied for the ACP Program before, what is your Enrollment ID? (not required)

To verify your eligibility the EBB Program needs your Birthday & Last 4 Digits of your SSN?

SSN will only be used to verify your eligibility for the government benefit EBB program.

Do You Live with other adults?

Do they get lifeline?

How many people live in your household?

What Gov Programs Do You Participate in?

You Must Upload the Proof Docs Listed Below to Enroll in the ACP Program along with a Valid Drivers License.

SNAP

Social Security Income Enrollment

Head Start Enrollment

Federal Public Housing Enrollment

Veterans Pension Enrollment

Pell Grant Enrollment

FDPIR Enrollment

Tribal: Bureau of Indian Affairs

Tribal Temporary Assistance For Needy Families

Low Income Enrollment

Medicaid Enrollment

Upload Valid Drivers License (front)

Upload Valid Drivers License (back)

Upload Proof Document-1

Upload Proof Document-2

Tell us a little about you to help us create your account and determine eligibility

Congratulations!

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