Expression of interest form

Please copy and paste this table into an email, fill it in and email it to me: chris@wiltshire.net

For a copy of an information sheet which can be passed on to others: Information_on_possible_Wireless_Broadband_supply.pdf (110,224 bytes)

Where there are multiple options, please remove the unwanted answers.

Your name  
Your email address  
Private / Residential or Business interest? (if home business please state) Unlikely to change pricing, but required service levels may be different.  
Consent to pass these details on to the commercial organisation who is looking to provide this service? Y/N
Your physical address  
Your contact phone number  
Your likely broadband speed requirements: (assume symmetrical speeds [same up and down]) 1Mb/s
3Mb/s
5Mb/s
10Mb/s
20Mb/s
Your likely monthly data requirements 1GB
3GB
5GB
10GB
15GB
20GB
30GB
Would you be willing for your connection to act as a repeater station for neighbours to help to offer wider connectivity? Y/N
Can you directly see the large communications tower on Kaipara Hills Road? Y/N
If not, can you please name and describe a clear, high point which you can see from your location? – (We may need to contact you to clarify this)  
Would you be willing to have a repeater pole and equipment placed on your property to aid others with their connectivity to a wireless network? Y/N

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