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Washington Parish Broadband Availability Survey (WPBAS)
Prefix
First*
Middle
Last*
Suffix
Mr.
Mrs.
Dr.
Jr.
Sr.
II
III
IV
MD
PHD
Building Or House Number*
Street Name*
Apartment Number
City*
State*
Zip*
Angie
Bogalusa
Franklinton
Mount Hermon
Varnado
LA
70426
70427
70438
70450
70467
Phone Number*
Email Address*
Do you have high speed internet) service?*
Yes
No
Why do you not have high speed internet service*?
(Check all that apply or type in your own reason)
*
High speed internet is not available in my area.
I have high speed internet access elsewhere.
High speed internet is too expensive.
Dial-up internet suits my needs at this time.
Do not own or use a computer that is suitable for high speed internet use.
Do not need or want high speed internet service at this location.
How much would you be willing to pay each month for high speed internet service*?
$0
$1-$19.99
$20.00-$39.99
$40.00-$59.99
$60.00 or more
* Indicates a field is required.