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                    <h1><a href="/"><span>onlincolnshire supporting ICT innovation</span><img src="/images/h1-logo.gif" id="printlogo" alt="On Lincolnshire"/></a></h1>
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                <ul class="menu1"><li><a href="/home">Home</a></li><li class = " first"><a href="/Broadband-in-Lincolnshire">Broadband in Lincolnshire</a></li><li class = " childselectedl1  hasChildren"><a href="/How-we-can-help">How we can help</a></li><li class = "  hasChildren"><a href="/Getting-involved">Getting involved</a></li><li><a href="/Case-Studies">Case Studies</a></li><li class = "  hasChildren"><a href="/News/Project-News">News</a></li><li><a href="/Links">Links</a></li><li class = "  hasChildren"><a href="/About-us">About us</a></li><li class = "  hasChildren last"><a href="/Forum">Forum</a></li></ul>

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    <p><strong>Why should you complete our &lsquo;Broadband Demand Registration?'</strong></p>
<p>Less than 5 minutes of your time could help make a big difference...</p>
<p>The goal of onlincolnshire is to encourage commercial suppliers to invest in infrastructure in Lincolnshire.</p>
<p>Communities in Lincolnshire are encouraged to register their interest in receiving improved broadband connectivity, whilst confirming thier current connectivity speeds.</p>
<p>Community groups are encouraged to pull together and register their presence with onlincolnshire, which will provide guidance of the steps that a community group can take to set up a campaign to improve digital connectivity in their area.</p>
<p>Please complete the following form.</p>
<p>Your registration will allow access to our online forums and you can opt in to receive our latest E-Newsletter.</p>
<p><strong>My personal Data</strong></p>
<p>I understand that by submitting my personal details including my phone number, this will assist Lincolnshire County Council in being able to identify broadband issues. I understand that my data will be used in a collective form to identify areas with poor connectivity and not as a means to offer individual advice. I have read and accept the Terms and Conditions of this site.</p>
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                <p>Lincolnshire County Council will use the details provided on this form to illustrate Lincolnshire's current level of connectivity, through the publication of maps and through collective data. Your personal contact details will be used by Lincolnshire County Council to contact you should we need to obtain further information from you about this or other requested services. All personal information will be processed in accordance with the Data Protection Act 1998 and you have the right to see records relating to yourself and to ask that they be amended where they are inaccurate.</p>
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            <span class="heading">Your identity</span>
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                           Name of Organisation</label></div>
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	                            <option value="5">Mr</option>
	                            <option value="2">Mrs</option>
	                            <option value="3">Miss</option>
	                            <option value="4">Ms</option>
	                            <option value="74">Dr</option>
	                            <option value="75">Rev</option>
	                            <option value="76">Cllr</option>
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<!-- TELEPHONE -->                
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                    <div class="label req">
                        <label for="telephone">
                            Telephone</label>
						<br />
                        <em>Fixed line only, excluding the area code</em>        
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                <span class="heading">Your Account Details</span>
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                <span class="heading">Your Broadband Experience</span>
                
<!-- POSTCODE -->
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                            <option value="32">Yes</option>
                            <option value="33">No</option>
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<!-- HOW FAST IS IT? -->
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                    <div class="label req">
                        <label for="bbspeed">
                            What Broadband Speeds are you Receiving?</label>
                            <a href="/links.html" title="Test my internet connection" onclick="window.open(this, 'Test my internet connection', config='height=500,width=400, toolbar=no, menubar=no, scrollbars=yes, resizable=no,location=no, directories=no, status=no'); return false;" onkeypress="window.open(this, 'Test my internet connection', config='height=500,width=400, toolbar=no, menubar=no, scrollbars=yes, resizable=no,location=no, directories=no, status=no'); return false;">Help</a>
                            <!--<a href="#" title="Test my internet connection" onclick="extralinks(); return false;" onkeypress="extralinks(); return false;">Help</a>-->
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                            <option value="0" selected="selected">Select</option>
                            
							<option value="182">No Broadband - Use dial up</option>
							<option value="183">Less than 512 Kbps</option>
							<option value="184">512 Kbps to 1 Mbps</option>
							<option value="185">1 Mbps to 2 Mbps</option>
							<option value="186">2 Mbps to 10 Mbps</option>
							<option value="187">10 Mbps to 20 Mbps</option>
							<option value="188">Greater than 20 Mbps</option>
							<option value="189">Don't know</option>
							
							
                        </select></div>
                    <div class="clear">
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<!-- SPEED AFFECT -->
                <div class="formquestion">
                    <div class="label req">
                        
                            How does the Broadband Speed you receive affect your daily tasks?</div>
                    <div class="reg-right">
                        <div class="option">
                        <div class="option-left">
                            <input type="radio" name="bbspeedaffect" id="bbspeedaffect1" value="40" /></div><div class="option-right"><label for="bbspeedaffect1">I can access the information I require with my current Broadband Service.</label></div>
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                        <div class="option-left">
                            <input type="radio" name="bbspeedaffect" id="bbspeedaffect2" value="41" /></div><div class="option-right"><label for="bbspeedaffect2">I have a very slow service, so I can only access part of the information I require.</label></div>
                        <div class="clear"></div>
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                        <div class="option-left">
                            <input type="radio" name="bbspeedaffect" id="bbspeedaffect3" value="42" /></div><div class="option-right"><label for="bbspeedaffect3">It does not affect me. I do not utilise the internet as much as I could.</label></div>
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                        <div class="option">
                        <div class="option-left">
                            <input type="radio" name="bbspeedaffect" id="bbspeedaffect4" value="43" /></div><div class="option-right"><label for="bbspeedaffect4">I can not carry out any tasks, due to the lack of Broadband at my location.</label></div>
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                    <div class="clear">
                    </div>
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                <span class="heading">Marketing</span>
<!-- HOW DID YOU HEAR? -->                
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                            How Did you hear about Onlincolnshire?
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                    <div class="reg-right">
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                        <div class="option-left">
                        <input type="radio" name="howdidyouhear" id="howdidyouhear1" value="1" /></div><div class="option-right"><label for="howdidyouhear1">County News / Local Newspaper / Local Radio</label></div>
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                        <input type="radio" name="howdidyouhear" id="howdidyouhear2" value="2" /></div><div class="option-right"><label for="howdidyouhear2">Email</label></div>
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                            I would like to receive the Onlincolnshire Newsletter</label>
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                        Yes &nbsp;&nbsp;&nbsp;
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                        No
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		            theSlider = theContainer.getElements('div.slider');
		            theInnards = theContainer.getElements('div.innards');
		            innardsHeight = theInnards[0].getSize().y;
		            sliderHeight = theSlider[0].getSize().y;

		            if (sliderHeight > 0) {
		                theSlider.tween('height', 0);
						el.set('text', 'View more');
		            }
		            else {
		                theSlider.tween('height', innardsHeight);
		            }
		        });
		    });
			
		});

	</script>

    
	
        
    
    </body>
</html>


