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* 1. Please enter your name, address and phone number in the field below

Example: John Smith, 123 Hummingbrid Lane, Tulsa, OK 74008, (805) 742-2345

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* 2. I believe our community is in need of more internet service options.

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* 3. I believe improved internet access would improve healthcare options in our community.

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* 4. I believe improved internet access would increase employment options in our community.

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* 5. Overall, I believe improved internet access would benefit my life and the lives of individuals in my community.

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* 6. I believe improved internet access would help current businesses within our community.

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* 7. In what ways would you use internet (or faster internet) if it was provided? Select all that apply.

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* 8. Would you support an initiative that would bring affordable, high speed internet to your community?

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* 9. Would you subscribe to high(er) speed internet services if they were made available in your area? (Please note an affirmative response is not a binding commitment)

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