Let’s work together Name * First Name Last Name Email * Phone * (###) ### #### Company Name * Website * http:// What best describes your operation? * Type of Borrower Co-Ops ISP's (For-Profit) Consultant, Start Up, Engineer 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 is the estimated cost for the complete network build out? * How much capital do you need? * Other funding opportunities sought/received * ReConnect, CPF, ect. Total homes passed: * Total subs today: * Do you have a pro-forma? * Are you a BEAD applicant? * Estimated BEAD funding sought? * Is there a public component of the build? * Any other important info or note: Thank you!
