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* 1. What is the name of your organization?

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* 2. Who is the point of contact for broadband or information technology initiatives within your organization?  

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* 3. What is the nature and/or mission of your organization?

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* 4. Is your organization presently engaged in strategic planning efforts or developing a broadband strategy?  If yes, please describe. 

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* 5. Has your organization and/or region previously implemented a broadband strategy or embarked on the implementation of a broadband strategy? If yes, please describe.

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* 6. Is your organization presently seeking funding to support the development and/or enhancement, expansion of broadband infrastructure or services?

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* 7. What are the current challenges in your region as it relates to broadband infrastructure?

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* 8. Are you interested in staying engaged in the Governor's efforts to ensure that every Pennsylvanian has access to high-speed, reliable and affordable broadband?

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* 9. If you answered "yes" to the question above, would you be willing to participate in on-going dialogue with the Governor's Office of Broadband Initiatives and attend a roundtable discussion in your region?

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* 10. Are you in support of Governor Wolf's proposed severance tax as a means to fund the deployment and implementation of robust and affordable high-speed internet service across every community in Pennsylvania?

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* 11. Please share your name and contact information for future communications.

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