Please provide your address and contact details so we can plan radio coverage.

Name
House
Street Address
Village	type or pick village Assington Newton Little Cornard Polstead Boxford Giffords Hall Polstead Heath Groton Sackers Green Edwardsone Stoke by Nayland Great Waldringfield Little Waldringfield Lindsey
County
Post Code	very important
Work Phone
Home Phone
E-mail
Your Website

How do you currently connect to the Internet?

None Dialup ADSL Sat Mobile WISP

Home or business user?

Home
Business
HomeOffice

What would you like from an improved Broadband Internet service?

Just Broadband
Reliable service
Faster Web and Email
Fast Downloads
Streaming such as radio and TV
Gaming
Telephone VoIP

Please describe your experiences in obtaining and using Broadband Internet.

We need 20 subscribers to start with, would you be interested in helping promote the service?

Yes No

It takes investment for us to bring the service to a new area. Would you consider being a pioneer of the service by helping us invest by paying in advance and getting a better deal?

Yes No

Please submit the form when completed, you will receive a copy by email and personal reply from me. Thanks, Wayland Sothcott.