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* 1. Community name

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* 2. Project area (city limits, county, etc.)

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* 3. Contact name

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* 4. Contact email

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* 5. Contact phone

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* 6. How much do you know about this developing FCC program?

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* 7. Which describes your partnership situation…

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* 8. Our infrastructure plan is for a…

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* 9. How can Blandin Foundation be of assistance to you? Check all that apply.

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