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AMERICAN SAMOA BEAD CHALLENGE FORM:
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ENTITY (SELECT ONE): - Select Entity Type -
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ENTITY NUMBER (IF APPLICABLE)
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NAME (FIRST, LAST)
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PHONE:
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EMAIL:
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WEBSITE:
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For more information on the Challenge Process please review the BROADBANDiNEI Initial Proposal Volume 1 link below. Or visit our website at broadband.as.gov
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https://drive.google.com/file/d/1cQ5jWPxPMkO0Rtk042uNi_j2BY2qmwSX/view
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*Note: Evidence, please send evidence in a seprate zip or a shared folder for review.
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(see Vol 1. page 20 - 25 for acceptible evidence) (as advertised by ISPs)(actual speeds recorded: ex. Oolka, speedtest etc.)
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CHALLENGE TYPE (select one)CHALLENGE BASIS (based on challenge see Vol. 1 for reference pg. 20 - 25) PROVIDER (ISP)TECHNOLOGYLOCATION IDLATTITUDELONGITUDEDESCRIPTION OF LOCATIONEVIDENCE FILE NAME EVIDENCE FILE TYPEADVERTISED DOWNLOAD SPEEDADVERTISED UPLOAD SPEEDACTUAL UPLOAD SPEEDACTUAL DOWNLOAD SPEEDLATENCYOther Comments
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