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Pre-register | Aquidneck Light NOTE: * precedes all required fields.

* Salutation:
Ms. Mr.
* First Name:

Middle Initial:

* Last Name:


* Are you filling out this form for your:
Residence Business

* Street Number:
NOTE: This field only accepts numerals. If there is a letter after your street number (e.g. '39A') please indicate in the comments field.

* Street Name:

* Street Type (e.g. Avenue, Road, etc.):

* Municipality:

* Zip Code (use only 5 digits, e.g. '02871'):


* Is there underground electrical conduit leading from your residence or business to the street?


* Geographic Zone:
NOTE: Please refer to the customized map at the bottom of this page to identify your zone.


* Email Address:

Telephone Number (use format 401-555-5555):


Comments (please limit to no more than 1024 characters):


* I acknowledge that personal data collected on this registration form will be retained for the express purpose of 'pre-registering'. Aquidneck Light will use data collected on this form solely to determine where interest for a fiber-to-the-premises (FTTP) deployment is highest (and allocate resources accordingly). All data collected on this form will expire and be deleted upon initiation of a pilot in your respective "fiberhood" or September 28th, 2023 (three years from today), whichever occurs first. If you would like your personal data removed before this date, please e-mail us at: info@aquidnecklight.org.

Your personal data will never be sold, shared, or transferred, ever. We hate that kind of stuff, too :)

Input:



About Us | Questions or Comments? Email: info@aquidnecklight.org or snail mail: P.O. Box 896, Portsmouth, RI 02871.

Our mission is guided by old school Internet ideals and the Association for Computing Machinery (ACM)'s Code of Ethics and Professional Conduct.

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