North Branch Networks

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please fill out and submit the following form. Required fields are marked with an asterisk.

I would like to be added to your mailing list
Please have someone contact me as soon as the service is available in my area to set up an installation
*Name:
Business Name:
*911 Address
GPS Coordinates
*Email Address:
Phone Number:
*Type of service interested in (Check as many as apply):
	Home
	Home Office
	Business
Optional Questions
Number of computers:
	1
	2-5
	6-10
	10-25
	25+
Type of computers:
	PC
	Macintosh
	Linux
	Unix
	other
Current network connection:
	dial-up
	DSL
	Cable Modem
	one-way satellite
	two-way satellite
	other
What are the key factors in determining if you would switch ISPs:
	cost
	speed
	local ownership and operation
	customer support
	other