Affordability Connectivity Program Claim Form

As an approved ACP service provider, Point Broadband makes signing up easy. Complete the form below and your credit will be applied upon enrollment verification. Please allow up to 30 business days for confirmation. The information that you enter into this form must be an exact match with the information entered on your government form.

First Name *

Middle Name *

Last Name *

Email *

Phone Number *

Street Address *

Zip Code*

City *

State *

Zone *

ACP Application ID# *

Date of Birth*

Social Security # *

Are you currently a Point Broadband OR JTM Broadband customer? *

Yes

Current PBB Account # *

Additional Comments (optional):

I acknowledge I have received and reviewed disclosure information about the Affordable Connectivity Program (ACP). I affirmatively consent with this submission to my enrollment in the ACP, to submission of my information to NLAD, and to the application of the ACP benefit to the broadband service offered to me by Point Broadband.

Dear

Thank you for your interest in the Affordable Connectivity Program. A Point Broadband representative will review your information and follow-up with you regarding your ACP credit.
‍
Best Regards,
The Point Broadband Customer Service Team

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AFFORDABLE CONNECTIVITY PROGRAM (ACP)
ENROLLMENT FORM

Let's Find Deals and Services Available in Your Area.

Live life on point.

AFFORDABLE CONNECTIVITY PROGRAM (ACP)ENROLLMENT FORM

Let's Find Deals and Services Available in Your Area.

Live life on point.

AFFORDABLE CONNECTIVITY PROGRAM (ACP)
ENROLLMENT FORM