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Contact Information

First Name* Address 1 City Email*
Last Name* Address 2
Zip Code
Phone
I currently do not have broadband
Why Not?
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Broadband Inquiry // Tell us your broadband needs

The information you submit below will be aggregated with other submissions to assist in Connected Nation’s work to improve broadband availability and quality. Please be as specific about your broadband needs as possible. * Denotes a required field.

If you are one of many with a lack of adequate broadband service in your area, please encourage your friends and neighbors to submit their broadband needs. This helps demonstrate the demand for service in your area.

Contact Information

First Name*Address 1*City*County*

Your address will be used for location services only, assisting in potential future service offerings.

E-mailPhone
Last Name*Address 2
Zip Code*

Tell us your broadband needs (Check at least one)*

I Want Broadband
I Want a Specific Broadband Service
I Want a Faster Internet Option
I Want a Cheaper Internet Option
Other

Comments*

Please be very specific as to your current broadband situation and the broadband services needed.