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Get Assurance Wireless Change of Address Form

Assurance Wireless Change of Address Form This form is to be used to officially change your Home Address or Mailing Address. If you are moving to a new State you will have to reapply for Lifeline service in the new State. We will mail you an application for the new State. Address Information Full Name Last First M. I. Home Address Street Address PO Boxes Cannot be Accepted Apartment/Unit City Assurance Wireless Number State Home Phone Number ZIP Code Mailing You have two options to return this form to us Fax this form to 1-877-732-3018 Mail this form to Assurance Wireless PO Box 686 Parsippany NJ 07054 OR We thank you for being our customer. If you are moving to a new State you will have to reapply for Lifeline service in the new State. We will mail you an application for the new State. Address Information Full Name Last First M. I. Home Address Street Address PO Boxes Cannot be Accepted Apartment/Unit City Assurance Wireless Number State Home Phone Number ZIP Code Mailing You have two options to return this form to us Fax this form to 1-877-732-3018 Mail this form to Assurance Wireless PO Box 686 Parsippany NJ 07054 OR We thank you for being our customer. .

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