Pledging in our campaign will not oblige you to purchase any services or products

I live in Nottinghamshire and I am fed up with slow (or no) broadband speeds at my home, in my village or at work. I want a better service as soon as possible.

By providing your personal details (name, email, address and phone number) in this form you agree to allow Nottinghamshire County Council to use them to produce statistics for the Superfast Broadband in Notts campaign.

We will also pass on your details to relevant third parties including Broadband Delivery UK, commercial broadband service providers and others.

Your information will be used for a range of purposes including assessing the commercial viability of broadband investment, and for companies offering Broadband and internet services to contact you about the services they offer.

Personal information

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* Personal information

Business details:

Business name:

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* Business name:

Business type:

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* Business type:

Size of business (number of employees):

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* Size of business (number of employees):

Building number:

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* Building number:

Street:

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* Street:

Town/city:

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* Town/city:

Postcode:

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* Postcode:

Business landline telephone:

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* Business landline telephone:

Business email:

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* Business email:

Your details:

Contact title:

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* Contact title:

Contact first name:

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* Contact first name:

Contact surname:

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* Contact surname:

Job title:

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* Job title:

Does your business have a current broadband service?

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* Does your business have a current broadband service?

If so, who is the current service provider for the business?

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* If so, who is the current service provider for the business?

Cost per month of current broadband service?

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* Cost per month of current broadband service?

What is the maximum current download speed you receive at the business?

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* What is the maximum current download speed you receive at the business?

What does the business want/use the internet for?

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* What does the business want/use the internet for?

How much would the business be willing to pay per month for a better broadband service?

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* How much would the business be willing to pay per month for a better broadband service?

How long a contract would the business be willing to sign up for?

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* How long a contract would the business be willing to sign up for?

Thank you for helping our campaign

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