A subscriber already enrolled in Lifeline with another provider must consent to the transfer of their Lifeline benefit to SafetyNet Wireless. The effect of a Lifeline benefit transfer is that your Lifeline benefit will be applied to SafetyNet Wireless’s Lifeline service and will no longer be applied to service retained from your former Lifeline service provider. You may lose service or be subject to your former Lifeline provider’s undiscounted rates as a result of the transfer if you elect to maintain service from that provider. After receiving and reviewing the foregoing required disclosures, I consent to and authorize SafetyNet Wireless to transfer my current Lifeline benefit to SafetyNet Wireless, if I am found to already be receiving a Lifeline discount benefit from another Lifeline provider. I consent to use of this electronic form. I understand I have the right to enroll in the service using non-electronic methods. I further understand that I have the right to withdraw this consent at any time prior to the activation of my service. SafetyNet has advised me, and I understand that I may request a paper copy of my contractual terms and associated fees or withdraw this consent by calling 888-224-3213. By clicking the confirm Signature button, you are electronically signing this form.