Request edit access
Responses cannot be edited
Are you an elected municipal leader interested in community broadband?
Let us know who you are, and who you represent. We will list you in a public roster so others get get in touch with you, as well as following up on how we can help with next steps. Thank you!
Email address
What's your name?
What community do you live in?
What's your role in the municipality?
What's your email address?
If you have Twitter, what's your handle?
What's your phone number? (Won't be listed publicly.)
Why are you interested in community broadband? (Check all that apply.)
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of OpenMedia. Report Abuse - Terms of Service - Additional Terms