Please complete this form to begin your Wind Energy Telecommunications Study.

Company Name (to appear on report)
Project Name
County
State	-Select-AB -- ALBERTA / CANADAAK -- ALASKAAL -- ALABAMAAO -- ATLANTIC OCEANAR -- ARKANSASAS -- AMERICAN SAMOAAZ -- ARIZONABC -- BRITISH COLUMBIA / CANADACA -- CALIFORNIACI -- CAROLINA ISLANDSCM -- COLONY OF MARIANASCN -- CANADACO -- COLORADOCR -- COSTA RICACT -- CONNECTICUTDC -- DISTRICT OF COLUMBIADE -- DELAWAREDF -- DISTRICT FEDERALFL -- FLORIDAGA -- GEORGIAGM -- GULF OF MEXICOGU -- GUAMHI -- HAWAIIIA -- IOWAID -- IDAHOIL -- ILLINOISIN -- INDIANAKS -- KANSASKY -- KENTUCKYLA -- LOUISIANAMA -- MASSACHUSETTSMB -- MANITOBA / CANADAMD -- MARYLANDME -- MAINEMI -- MICHIGANMN -- MINNESOTAMO -- MISSOURIMP -- SAIPANMS -- MISSISSIPPIMT -- MONTANAMY -- MIDWAYNB -- NEW BRUNSWICK / CANADANC -- NORTH CAROLINAND -- NORTH DAKOTANE -- NEBRASKANF -- NEW FOUNDLAND / CANADANH -- NEW HAMPSHIRENJ -- NEW JERSEYNM -- NEW MEXICONS -- NOVA SCOTIA / CANADANT -- NORTHWEST TERRITORIESNU -- NUNAVUTNV -- NEVADANY -- NEW YORKOH -- OHIOOK -- OKLAHOMAON -- ONTARIOOR -- OREGONPA -- PENNSYLVANIAPE -- PRINCE EDWARD ISLAND / CANADAPR -- PUERTO RICOQC -- QUEBEC / CANADARI -- RHODE ISLANDSC -- SOUTH CAROLINASD -- SOUTH DAKOTASK -- SASKATCHEWAN / CANADAST -- SASKATCHEWANTN -- TENNESSEETX -- TEXASUT -- UTAHVA -- VIRGINIAVI -- VIRGIN ISLANDSVT -- VERMONTWA -- WASHINGTONWI -- WISCONSINWV -- WEST VIRGINIAWY -- WYOMINGYT -- YUKON TERRITORIES
Ship to:
Company
Contact Name
Address
City
State	-Select-AB -- ALBERTA / CANADAAK -- ALASKAAL -- ALABAMAAO -- ATLANTIC OCEANAR -- ARKANSASAS -- AMERICAN SAMOAAZ -- ARIZONABC -- BRITISH COLUMBIA / CANADACA -- CALIFORNIACI -- CAROLINA ISLANDSCM -- COLONY OF MARIANASCN -- CANADACO -- COLORADOCR -- COSTA RICACT -- CONNECTICUTDC -- DISTRICT OF COLUMBIADE -- DELAWAREDF -- DISTRICT FEDERALFL -- FLORIDAGA -- GEORGIAGM -- GULF OF MEXICOGU -- GUAMHI -- HAWAIIIA -- IOWAID -- IDAHOIL -- ILLINOISIN -- INDIANAKS -- KANSASKY -- KENTUCKYLA -- LOUISIANAMA -- MASSACHUSETTSMB -- MANITOBA / CANADAMD -- MARYLANDME -- MAINEMI -- MICHIGANMN -- MINNESOTAMO -- MISSOURIMP -- SAIPANMS -- MISSISSIPPIMT -- MONTANAMY -- MIDWAYNB -- NEW BRUNSWICK / CANADANC -- NORTH CAROLINAND -- NORTH DAKOTANE -- NEBRASKANF -- NEW FOUNDLAND / CANADANH -- NEW HAMPSHIRENJ -- NEW JERSEYNM -- NEW MEXICONS -- NOVA SCOTIA / CANADANT -- NORTHWEST TERRITORIESNU -- NUNAVUTNV -- NEVADANY -- NEW YORKOH -- OHIOOK -- OKLAHOMAON -- ONTARIOOR -- OREGONPA -- PENNSYLVANIAPE -- PRINCE EDWARD ISLAND / CANADAPR -- PUERTO RICOQC -- QUEBEC / CANADARI -- RHODE ISLANDSC -- SOUTH CAROLINASD -- SOUTH DAKOTASK -- SASKATCHEWAN / CANADAST -- SASKATCHEWANTN -- TENNESSEETX -- TEXASUT -- UTAHVA -- VIRGINIAVI -- VIRGIN ISLANDSVT -- VERMONTWA -- WASHINGTONWI -- WISCONSINWV -- WEST VIRGINIAWY -- WYOMINGYT -- YUKON TERRITORIES
Zip
SELECT this box if you would like your BILLING and SHIPPING information to be the same, otherwise you will need to enter a different BILLING name and address below.
Bill to: (if different from above)
Company
Contact Name
Address
City
State	-Select-AB -- ALBERTA / CANADAAK -- ALASKAAL -- ALABAMAAO -- ATLANTIC OCEANAR -- ARKANSASAS -- AMERICAN SAMOAAZ -- ARIZONABC -- BRITISH COLUMBIA / CANADACA -- CALIFORNIACI -- CAROLINA ISLANDSCM -- COLONY OF MARIANASCN -- CANADACO -- COLORADOCR -- COSTA RICACT -- CONNECTICUTDC -- DISTRICT OF COLUMBIADE -- DELAWAREDF -- DISTRICT FEDERALFL -- FLORIDAGA -- GEORGIAGM -- GULF OF MEXICOGU -- GUAMHI -- HAWAIIIA -- IOWAID -- IDAHOIL -- ILLINOISIN -- INDIANAKS -- KANSASKY -- KENTUCKYLA -- LOUISIANAMA -- MASSACHUSETTSMB -- MANITOBA / CANADAMD -- MARYLANDME -- MAINEMI -- MICHIGANMN -- MINNESOTAMO -- MISSOURIMP -- SAIPANMS -- MISSISSIPPIMT -- MONTANAMY -- MIDWAYNB -- NEW BRUNSWICK / CANADANC -- NORTH CAROLINAND -- NORTH DAKOTANE -- NEBRASKANF -- NEW FOUNDLAND / CANADANH -- NEW HAMPSHIRENJ -- NEW JERSEYNM -- NEW MEXICONS -- NOVA SCOTIA / CANADANT -- NORTHWEST TERRITORIESNU -- NUNAVUTNV -- NEVADANY -- NEW YORKOH -- OHIOOK -- OKLAHOMAON -- ONTARIOOR -- OREGONPA -- PENNSYLVANIAPE -- PRINCE EDWARD ISLAND / CANADAPR -- PUERTO RICOQC -- QUEBEC / CANADARI -- RHODE ISLANDSC -- SOUTH CAROLINASD -- SOUTH DAKOTASK -- SASKATCHEWAN / CANADAST -- SASKATCHEWANTN -- TENNESSEETX -- TEXASUT -- UTAHVA -- VIRGINIAVI -- VIRGIN ISLANDSVT -- VERMONTWA -- WASHINGTONWI -- WISCONSINWV -- WEST VIRGINIAWY -- WYOMINGYT -- YUKON TERRITORIES
Zip
PO Number (optional)
Hub Height Above Ground Level (in meters)**
Turbine Rotor Diameter (in meters)**
**NOTE: Please provide values for these fields even if no turbine locations are being provided. A typical value of 80 meters hub height and 90 meters rotor diameter will be used if no value is entered. These values will also appear on any correspondence with the federal government (NTIA).
Coordinate Block for the Area of Interest (DD - decimal degree format preferred & optional if turbines are submitted)
Min Latitude	Max Latitude
Min Longitude	Max Longitude
Turbine locations (optional): Please provide an Excel Spreadsheet containing turbine locations using Latitude/Longitude coordinates [DD - decimal degree format with minimum of six decimal places preferred]
Datum for Turbine Coordinates(required if uploading file)	NAD83       NAD27       WGS84
Requestor Email
Comments(optional)
Enter the security code from the image below