Application for a BISmark router

Please fill out the following form in order to provide us with the information necessary to consider your application and ship you a BISmark router. We may or may not send routers to any or all who complete this form.

You must read and confirm that you agree with all of the notices contained here: http://projectbismark.net/participant/notices/

    Participation Agreement

    Check the box below to affirm that you have read, understood, and agree with the BISmark participation agreement (http://projectbismark.net/participant/notices/), including running the BISmark active measurements as part of your participation in the project, and returning the router in the even that you decide not to participate in the project at a later date.
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    Contact Information

    This information will only be used to contact you when necessary, and will not be shared.
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    Shipping Information

    This information will only be used to ship you a router and will not be shared. Aggregate-level information (city, state, country) may be used to organize the data we collect from you.
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    Internet Service Information

    This information will be used to plan our deployment and organize the data we collect from you.
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    Optional Information

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