CBAN Advocate Membership Form
This class of membership is open to community broadband advocates such as individual citizens, elected officials, or appointed officials. It is also open to associations and advocacy groups that promote community-based broadband.
Advocate Membership is free and in effect until canceled.
Email address *
This application is on behalf of... *
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Name (individual or organization)
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Street Address or PO Box *
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City *
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State *
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Zip Code *
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Primary Contact Name *
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Primary Contact Email *
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Primary Contact Phone number *
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Additional Contacts (name, email; )
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Website Address
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We appreciate your interest in CBAN! Please take a moment to tell us why you are interested in Advocate Membership.
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How did you hear about CBAN? *
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