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Select program survey

Public Speed Test: Broadband Map Corrections:

Enter Address: Enter Coordinates:

Address:

X Coord: Y Coord:

City: State:

Zip:

Provider Name:

Technology:

Speed subscribed to:

Cost:

Enter the address you are reporting on:

Name:

Contact Info:

Address:

City: State:

Zip:

May OIT and its partners contact with questions?

Yes:No:

Are you at the address reporting on?

Yes: No:

Do you have broadband at this address?

Yes: No:

Enter your service information:

Survey Type:

Provider Name:

Technology:

Speed subscribed to:

Price per month:

Enter providers you attempted to contact:

Comments about your service: