Request edit access
BIRRR Map of Installers, Equipment Suppliers, Computer Technicians and other Regional, Rural and Remote Internet/ICT Service Providers
If your business offers Internet , point to point systems or ICT products or services that may be of interest to Regional, Rural and Remote Australians, please fill out this form to have your details added to the map on our website.
* Required
What is the name of business
*
Your answer
What is your address? (Type Road number, road name)
*
Your answer
What town/locality are you based in?
*
Your answer
Which state are you based in?
*
Vic
NSW
QLD
ACT
SA
WA
NT
TAS
What is your postcode? (Type a 4 digit Postcode)
*
Your answer
What Product/Service types do you offer? (Tick all that apply)
*
Antenna / Equipment Supplier / Installer
NBN installer / signal tester
Computer Technician
Other:
Required
Areas you service? (Please describe)
*
Your answer
Description of your business, products and services.
Your answer
Contact Name:
Your answer
Contact Phone Number:
*
Your answer
Contact Email:
Your answer
Website:
Your answer
Facebook Page:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
