On Boarding – DREAMTouch Agency

Official Onboarding Form

"*" indicates required fields

Step 1 of 4

If you would like to offer free phones, You Will Need A RAD ID Number To Continue: Get Your RAD By Visiting www.lifelinerad.org And Clicking Register. Please Enter Your New RAD ID In The Box Below: (Skip This section if you do not wish to offer free phones)

Which Program Are You Interested In?*

Your Full Name*

Email*

Phone Number*

Date Of Birth*

Social Security Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country