*******OFFERED IN WISCONSIN ONLY********

NOW OFFERING WIRELESS SERVICE TO INDIVIDUALS THAT RECEIVE         GOVERNMENT ASSISTANCE!!!!!!!

Please make sure that you provide correct personal information. Your information will be validated against Public Records and any discrepancies could result in delays in your a-plication approval.-

YOU MUST PRINT A COPY OF THE APPLICATION

AND FAX IT IN TO 708-756-7721

You Must Receive:

• Medicaid
• Food Stamps
• LIHEAP
• Federal Public Housing
• SSI
• TANF
• National School Lunch Program's Free Lunch
• *Badger Care

Click Here to download the Application

***In order to meet the State and Federal Regulations that enable us to give you free MTI Wireless Service we must record your Social Security Number. The information is strictly confidential and will not be disclosed without your consent. All your personal information is encrypted using Secure Socket Layer (SSL) technology.***

Submiit your application Form 3 Ways

• FAX form  to 1-708-756-7721
• EMAIL form to enroll@mymti.com
• US Mail P.O. Box 1401, Chicago Heights, IL 60412

*******WISCONSIN ONLY*********