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Request Letter of Intent

Generated with MOOJ Proforms Basic 1.2
* Required information.
Date of Submission *
Registering as * If registering for a city council or a community, you may also register separately as residential user.
City Council
Real Estate/Building Manager
Residential user
Business
Organization
Other
Responder's Name *
Your Full Name *
Job title
Type of community * We need some specific about your community or municpality. If registering for multiple communities (or as a City), please select other and describe your situation in the text box at the bottom of the form.
City council
Community
Other
Some relevant info about your community
Address *
Address
Postcode *
City *
County *
State / Province
Country *
Telephone number *
Fax number
Mobile number
E-mail *
Website
Is there any available dark-fiber? *
Are there any Gigabit advocates? *
Submit supporting information
Other information Please explain your situation if you represent someone or some entity or if you want to inform us about some developments in your community.

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