
909 chestnut st
St. Louis, Mo 63101
(618) 434-1288
Welcome to Affordable Connectivity Solutions
Our team is so glad to serve you!
WE NEED YOUR FULL NAME AND BIRTHDAY
NAME:
BIRTHDAY:
ADDRESS & YOUR MOST PREVIOUS ADDRESS
PRESENT:
PREVIOUS:
WE NEED A GOOD PHONE NUMBER AND EMAIL
PHONE :
EMAIL:
WE NEED THE LAST FOUR OF YOUR SOCIAL
LAST FOUR:
WHAT BENEFITS DO YOU RECEIVE1.Supplemental Nutrition Assistance Program (SNAP)
2.Supplemental Security Income (SSI)
3.Medicaid
4.Federal Public Housing Assistance (FPHA)
5.Tribal-specific programs: Bureau of Indian Affairs General Assistance, Tribal Temporary Assistance for Needy Families (Tribal TANF), Food Distribution Program on Indian Reservations
6.Assistance for Needy Families (TTANF), Food Distribution Program on Indian Reservations (FDPIR), Head Start
7.Veterans and Survivors Pension Benefit
Protocol & ProceduresThese procedures are only for our office to obtain the information that's needed to qualify you for our free phone services or adhere affordable internet this information is only for business use only will only be used to help you receive the services that you're needing it is not in our protocol to share your information with any other source entity or any other situation. Thank you from affordable connectivity Solutions LLC