If your organization is interested in participating in ComNET
and/or ComNET2Go
please provide the following information:

Name of organization:*
Contact Person:*
Telephone:*    Fax:     
Email address:*
Website (if applicable):
We are interested in: ComNET     ComNET2Go

Please briefly describe your organization
(activities, membership, goals/mission)

Area you are interested in surveying (name of area, size)
Who would be conducting the surveys
(e.g. volunteers? community members? staff?)

Please tell us briefly how you think your organization
could benefit from using ComNET/ComNET2Go

Do you or members of your organization currently have
mobile devices with internet access?

* required information