iNorth2

Overall form progress: 33% Complete

iNorthumberland Response

1. 

1. Please complete the form below to register your interest in superfast broadband services. This will enable us to contact you when services become available in your area with details on how to benefit from the higher speeds
2. It will also allow us to seek much needed additional funding and target resources at the areas of the county in greatest need.
3. Please select one of the following I am a resident of Northumberland I run a business in Northumberland I am a student or teacher in Northumberland I represent a health care provider in Northumberland I represent a voluntary organisation in Northumberland I represent a public sector organisation in Northumberland I represent a tourism business in Northumberland

1. * Title Mr Mrs Miss Ms Cllr Dr Rev Other
2. * Forename
3. * Surname
4. * Please enter your postcode to look up your address
5. * Telephone Number
6. Mobile Number
7. * Email

1. Would you like to receive important updates relating to the roll out of superfast broadband in your area?

   1. Yes
   2. No
2. Would you like to get actively involved in the iNorthumberland programme?

   1. Yes
   2. No
3. If Yes, please give further details (Eg: Help to spread the word locally, or become a case study)
4. Are you happy for us to share your details with trusted third party organisations?

   1. Yes
   2. No
5. Please tell us where you heard about the iNorthumberland programme
6. Any additional comments you wish to make

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