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Fri, 22/01/2010 - 5:08pm |

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The information you supply will only be used in response to your interest in the high speed broadband network i.e. no unsolicited advertising or other message will be sent as a result of the information you have supplied.
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Organisation Name: *

Division Name:

Your Position: *

Contact Name: *

Email Address: *

Phone: *

Main Office Location: *

Contact Preference: *

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Size of Organisation: *

What kind of Internet connection do you have at present.: *

How will the proposed high speed broadband network benefit your organisation?: *

When will a connection to a high speed broadband network become essential to your organisation?: *

Are there any other comments you would like to make?:

Please submit your details now.

Remember the more information collected, the stronger the case for bringing the National Broadband Network to our region next!

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