Broadband Technical Assistance Interest Form
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Email *
Phone *
Key contact name  *
Organization/Affiliation (if any)
County/Community  *
What type of project are you interested in? *
Required
Do you have an identified need, grant or funding program already identified? (its ok if you don't!) *
Can you give a short summary of the project idea(s) or assistance you're thinking about? *
Do you have any other organizations or partners that you would like to work with on this project? If so please list them below. *
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