Petitioner Registration Form

Type of Internet Service Provider
This must be an external URL such as http://example.com.
Your working job title.
Direct number used for all work-related instances
Organization Address
Office Address (if different than above)

By signing below, I certify that I understand the petitioning process and per O.C.G.A. 50-40-22. Petition contesting maps, I certify that I am of the following elligible petitioning types:

  • Local government providing broadband services
  • Broadband service provider
  • Entity providing broadband services that are authorized to apply for a certificate of authority pursuant to O.C.G.A. 45-5-163
Self Certification
CAPTCHA
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