Assurance Wireless E-Signature Consent

In order to complete your enrollment in the Assurance Wireless Unlimited Plan, you must review
and accept the Assurance Wireless E-Signature Consent terms below.

Effective August 1, 2020

Consent to Use Electronic Records and Signatures. You agree to accept all communications
electronically and use electronic signatures ("Consent") with Assurance Wireless USA, LP. and our
controlled subsidiaries, assignees, agents and participating financial institutions and any entity assigning
an Equipment Installment contract to us. Unless you agree, we are required to provide some
Communications to you in writing.

1. What Types of Communications Will I Receive Electronically?

Your Consent applies to your entire relationship with us, including this transaction. Unless you
withdraw your consent, your agreements with us, equipment installment plan contracts, lease
agreements, monthly statements and any disclosures, notices or other information about your
relationship with us ("Communications") will be delivered electronically. We may, if we choose,
require Communications to be in writing.

2. How Do I Withdraw Consent?

You may withdraw your Consent:

A. before you submit the online application. You have the right to withdraw your consent to
receive Electronic Records at no cost to you. If you wish to withdraw your consent, you can exit
out of this application system at any time prior to finalization of the contract. If you do not consent
to receive Electronic Records, you will be unable to contract with Assurance Wireless through the
website.

B. after you have completed an online application, whenever you want without charge, or change
your email and contact preferences whenever you want by visiting your account at
www.assurancewireless.com or calling us at (888) 321- 5880. All Communications provided prior
to your withdrawal of Consent are still valid. After you withdraw Consent, your future
Communications with us will be in writing whenever required by law.

3. How do I Receive Paper Copies?

You can get a paper copy of any electronic Communications at no charge. Identify the document
you are requesting and simply send your request to:

Assurance Wireless Electronic Records Request -10 Independence Blvd., Warren, NJ 07059

4. Are there any Computer Hardware, Software and Other Requirements?

You must have the following items and features in order to receive the Communications
electronically:

• A computer with an Internet connection.

• A current Web browser that supports TLS 1.2 encryption. Minimum recommended browser
standards with default settings are Google Chrome version 38.0 and above, Mozilla Firefox
version 27.0 and above, Microsoft Internet Explorer version 11.0, Microsoft Edge and Apple
Safari version 7.0 and above. The browser must have JavaScript and cookies enabled.
• A valid email address - Sufficient storage space to save past Disclosures and/or an installed
printer to print them.
**We'll notify you if we change the computer hardware or software requirements in a way that creates a
material risk that you will not be able to receive or access the Communications. Your continued use of
electronic communication after any notice constitutes your continued Consent to the change.

Confirmation of Your Consent.

By providing your Consent, you confirm you have reviewed the above and agree (1) to electronically
receive all Communications; (2) to use electronic signatures; and (3) that you have hardware, software
(including PDF reader), email and SMS access to receive Communications electronically. You represent
that you are authorized and are providing this Consent on behalf of yourself.

By clicking Yes, I agree to the Assurance Wireless E-Signature Consent

Electronic Signature Jennifer Cruz Date 06/19/2022

Assurance Wireless Unlimited Plan Details

We're proud to offer you FREE unlimited service as part of the federal Affordable Connectivity Program.
This plan has been created to help eligible households stay connected to jobs, critical healthcare services,
and virtual classrooms.

The Assurance Wireless Unlimited monthly Plan includes*:

FREE Unlimited Data (High-speed Data)

FREE Unlimited Texts
FREE Unlimited Minutes
FREE 10GB Mobile Hotspot Data (10GB hotspot data up to 4G LTE speed)

During congestion, heavy data users (>35GB/mo.) and customers choosing Assurance Wireless or similarly prioritized plans (e.g.,
T-Mobile Essentials, Metro by T-Mobile) may notice lower speeds than other customers due to data prioritization.

Choose Yes below to enroll for FREE Unlimited Data & FREE Unlimited Texts & FREE Unlimited
Minutes.

Do you want to enroll in Assurance Wireless Unlimited?

If you change your mind after you are approved for Assurance Wireless Lifeline service, you can contact
Customer Care at 1-888-321-5880 to enroll in Assurance Wireless Unlimited Plan.

By providing my full signature below:

• I authorize Assurance Wireless to apply the Affordable Connectivity Program benefit to my

qualifying Assurance Wireless service, and I acknowledge that I may apply the Affordable
Connectivity Program benefit to any Assurance Wireless broadband service offering, at the same
terms available to households that are not eligible for ACP-supported service.
 • I acknowledge that the ACP Program is a government benefit that reduces the cost of my monthly
broadband internet access service bill up to the maximum amount of the ACP benefit.

• I acknowledge that I may obtain broadband service supported by the Affordable Connectivity
Program from any participating provider, and I may transfer my ACP benefit to another qualifying
ACP provider only once per service month unless an exception applies.

• I acknowledge that I will be subject to the Assurance Wireless general terms and conditions and
moved to a Lifeline-only service if eligible, or otherwise to a Pay As You Go plan if ACP ends, if I
transfer my benefit to another provider but continue to receive service from Assurance Wireless, or
upon de-enrollment from ACP.

• I acknowledge that I may file ACP-related complaints against Assurance Wireless through the
Federal Communication Commission’s Consumer Complaint Center.

• I acknowledge that I have been informed about Assurance Wireless’ ACP-supported service plans
that are fully covered by the applicable affordable connectivity benefit amount.

• If I currently receive an ACP benefit from another carrier, I request that Assurance Wireless submit
a Benefit Transfer on my behalf. I understand that I will only receive the ACP benefit from
Assurance Wireless and will lose any benefit from my current service provider. I understand that I
may be subject to my previous provider’s undiscounted rates as a result of the transfer if I keep
service from my previous provider. I also understand that I am limited to one ACP-transfer
transaction per service month unless an exception applies. I acknowledge that I was provided the
foregoing information about the transfer of my ACP benefit, and I consent to transfer my ACP
benefit to Assurance Wireless.

• I authorize government agencies and their authorized representatives to discuss with, receive from,
and provide information to Assurance Wireless that is relevant to my eligibility to receive ACP from
Assurance Wireless.

• I give my consent to Assurance Wireless to use and transmit my personal information, including my
name, address, date of birth, last four digits of my SSN or my Tribal ID number, my telephone
number, and other personal information, as well as the amount of the discount I receive, the date I
was enrolled in and the date I was de-enrolled from the Affordable Connectivity Program with
Assurance Wireless, as necessary, to verify my eligibility to receive the Affordable Connectivity
Program benefit with the Universal Service Administrative Company.

By checking, I am electronically signing my name and providing permission to enroll me in

Assurance Wireless Unlimited Plan.

Electronic Signature Jennifer Cruz Date 06/19/2022

If you have any questions, about the application process, call 1-888-898-4888

The Affordable Connectivity Program (ACP) is a government program that reduces the customer’s
broadband internet access service bill. One discount per eligible household and is non-transferable across
households. An eligible household may obtain ACP-supported broadband service from any participating
provider of its choosing and may apply ACP benefit to any broadband service offering of the participating
provider at the same terms available to households that are not eligible for ACP-supported service. ACP
service provider may disconnect the household’s ACP-supported service after 90 consecutive days of non-
payment; the household will be subject to the provider’s undiscounted rates and general terms and
conditions if the program ends, if the consumer transfers their benefit to another provider but continues to
receive service from the current provider, or upon de-enrollment from ACP. A household may file a
complaint against its provider via the FCC’s Consumer Complaint Center,
https://consumercomplaints.fcc.gov; visit https://acpbenefit.org for more information on ACP. Unlimited
while on our network. Mobile hotspot up to 10GB 4G LTE. Capable device required. Coverage is not
available everywhere. By activating your device and service, you agree to the Assurance Wireless Terms
and Conditions. See full terms (including arbitration provision) and details at assurancewireless.com.

Congratulations!

Your application has been approved! You can expect to receive your welcome letter and phone in the
next 7-10 business days. However, due to mobile phone inventory shortages, there may be a delay in
the shipment of your Assurance Wireless phone. Be assured, we will fulfill your request as quickly as
possible to get your service activated

You have successfully enrolled in Assurance Wireless Unlimited!