A.R.P.A.

A.R.P.A. Project Participation

Complete the request form below to record your election in participation to benefit with the A.R.P.A. project.

*Name:
*Email:
*Phone: Formats: 360-378-5884 or 3603785884
*Property Address:

*City:

State/Province:

*Zip/Postal:

*Island:

*I am the property owner of the address provided above:

*I confirm that there is at least one permanent structure building on this property provided above:

*Rock Island notified me of my qualification to participate in the Rock Island ARPA Project:

*Would you like to participate in the Rock Island ARPA Project?
      Yes, I would like to participate.
      No, I decline to participate.

*Once your ARPA-funded facility is in place, are you interested in connecting to fiber optic internet service from Rock Island?
      Yes, I want to start new fiber internet service.
      No, I do not want service at this time.

* I have read the Rock Island ARPA Project Information Sheet:

A.R.P.A.

A.R.P.A. Project Participation

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