Shutesbury, Leverett, Wendell Broadband Survey: Collect Data

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Date: 2018-12-14
Do you want faster Internet access:
How much would you pay per month for faster access? $
Do you want cable TV?
How much would you pay per month for cable TV? $
First name:
Last name:
Street Address:
Street Address:
Town:
State:
Zip Code:
Telephone (area code):
Local number):
email address:
Local telephone $/month:
Long distance $/month:
Cell phone(s) $/month:
# of telephone lines:
Monthly cost of Internet:
Internet connection:
Internet speed:
Internet useage:
Have an Internet domain?
Name of your Internet domain:
TV?
TV $/month:
Comments: