Name

First Name

Last Name

Phone

(###)

###

####

Are you willing to install a small, one-foot dish at your property?

Yes

No

How many trees block your view towards Williams Highway?

The main tower will be installed on private property on Applegate Ranch. Good visibility drives internet speed.

None

A few low trees

Pretty solid

Dense forest

How about price?

If it's more than $50/month, I'm not interested

Between $50/month and $75/month would be worth it to me

I'd pay more than $75/month if the Internet was fast and reliable

Would you be interested in additional tech support for a fee?

Applegate.Network would be responsible for maintaining and installing your internet connection, but we won't have the staff to help with WIfi or home computer issues. For a fee ($4-10/month) we can provide a service that you can call 24/7 for help.

Yes

No

Would you be willing to have Applegate.Network come out to your home for a site survey?

Yes

No

Do you want to sign up for periodic emails with progress?

Yes

No, thank you