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Join the Hundreds of Happy Customers in {{ $detail->address['city'] }}, {{ $detail->address['state'] }} Who Love Our Free 5G Mobile Service and Free Devices.

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Hollywood Actor Lorenzo Lamas Talking about GO MD USA

Complete The Form To Get Your Free Tablet, Smart Phone, and Free 5G Mobile Service Today!

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First Name

Last Name

Street

Apt. #

Zip Code 5-digits

City

State

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Phone 10-digits (numbers only)

Date of Birth

SSN Last 4 Digits

Number of People in Household

Government Program

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Federal Public Housing Assistance

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By selecting this checkbox and providing your signature below, you are granting authorization to Go MD USA and its representatives to use an automated system for delivering telemarketing calls to the phone number you have provided. This will be done using an automatic telephone dialing system and/or an artificial or pre-recorded voice or text message. Additionally, you acknowledge and agree to receive recurring automated promotional and personalized marketing text messages and emails (such as reminders to complete your application) from Go MD USA at the mobile number provided during sign-up. Please note that your consent is not a requirement for making any purchase, and the frequency of messages may vary. Your information will not be shared with any third party and data/usage rates may apply.

By proceeding with your application, you confirm and comprehend that the Affordable Connectivity Program is a Federal Communications Commission (FCC) benefit program designed to lower your monthly Broadband bill. This program will remain in effect until further notice. In the event that the program is concluded, you will receive a 30-day advance notice and will have the option to continue your plan at the regular, undiscounted rate. As a participant, you have the option to transfer your Affordable Connectivity Program (ACP) benefit to another service provider. It's important to note that the Affordable Connectivity Program is limited to one monthly service discount and one device discount per household.

I acknowledge that I am prohibited from receiving multiple benefits from the Affordable Connectivity Program (ACP) through the same or different service providers. I give my consent to participate or transfer to the GoMDUSA Affordable Connectivity Program.

I confirm that I am currently receiving ACP benefits from another provider. Through this application, I request to transfer my benefits to GoMDUSA.

I affirm that, to the best of my knowledge, my household is not currently receiving an ACP service benefit. I hereby request to enroll for an ACP benefit with GoMDUSA.

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