Broadband CreditInterested in working together? Fill out some info and we will be in touch shortly. Name * First Name Last Name Email * Phone * (###) ### #### Company Name * Website * What best describes your operation? * Type of Borrower * Muni's (Non-Profit) Co-ops ISP's (For-Profit) Consultant, Engineer, Start Up Other How many years of operating? * Vendor Partnerships? * Network Equipment, 3rd Party Operations, NOC, Call Center What type of capital and use are you looking for? * Check all that apply Bridge Capital to Grants Anticipation Notes Long Term Debt (non rated) Equity What estimated cost for the complete network build out? * How much capital do you need? * Other funding opportunities sought/recieved: * ReConnect, CPF, ect. Total Homes passed: * How many subs today: * Do you have a pro-forma? * Yes No Are you the BEAD Applicant? * Yes No Partnering with a BEAD applicant Estimated BEAD funding sought: * Is there a public component of the build? * Yes No Thank you!