TELUS
ISP Expression of Interest

Please fill out the following form and email or fax to: Communities and External Initiatives Branch or 250 952-0254

Contact Info Date
Company/Community Name
Contact Position
Address Town
Email address Website Address
Telephone Fax
Technical Info
Are you currently providing local or regional service in the Province of BC? Local Regional No
Are you an affiliate, or otherwise have granted equity interest to, or entered into a partnership or business alliance with, a telecommunications provider? Yes No
If yes, which one?
Are you currently offering Internet Service to communities within British Columbia? Yes No
If yes, in which communities?
If yes, what is your current customer base? less than 250
250 - 1000
more than 1000
Identify your last mile delivery expertise
(Please select all that apply)		 Wireless
ADSL
Cable
dialup
other
Please list which of the 119 unserved communities that you are applying to become the ISP for?
Please identify your community sponsor. (Letters of Support (or BCR(s), if First Nations) for each community should be attached.)
Do you intend to extend your reach to other communities that are in close proximity to the unserved community(ies) you are applying for? Yes No
If so, please identify the communities in proximity that you intend to also serve.
Have you applied for last mile funding through the Community Network Infrastructure Grant (CNIG) through BC3 or the First Nations Technology Council Yes No
Please attach your business plan.
Are you willing to sign a minimum three year contract with TELUS? Yes No
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