*DISCLAIMER: Lifeline is a government assistance program. Only eligible consumers may enroll in Lifeline. Lifeline service is non-transferable and limited to one discount per household. Lifeline services are provided by our trusted partner American Broadband and Telecomunications “AMBT”. Availability is limited to select states and specific zip codes.
Galaxy Distribution, Inc. “Galaxy” is powered by “AMBT” Company , a recognized service provider of Lifeline services. “AMBT” has engaged and supervises Surge to provide prospective beneficiaries enrollment services and customer support to qualified residents. Galaxy operates the galaxylifeline.com website. All references to Galaxy herein shall refer to "Galaxy Distribution, powered by AMBT”.
Completion of this form is required. This form is used for the purpose of verifying your eligibility for and enrolling you in Lifeline benefits and an eligible “AMBT” service plan and will not be used for any other purpose. LifeLine benefits are subject to verification of eligibility by the National Verifier and/or a Third-Party Administrator “TPA”.
Lifeline services are subject to availability and AMBT’s Terms and Conditions and Policies are available at Here.
Galaxy Lifeline are wholly owned subsidiaries of Galaxy Distribution.