Integra Community Connection

Thank you for your interest in supporting a local non-profit. Integra's Community Matters program is designed to support initiatives and organizations that benefit the lives of the people in the communities where we serve.

To nominate a non-profit organization to receive free high speed internet service for one full year* as part of our Community Connection campaign, please fill out the application below.

Integra may contact you regarding your nomination. Please note that Integra values your privacy and will never sell your information to 3rd parties.

About This Organization

Name of Organization:
Federal Tax ID Number (optional):
Contact Name:
Contact Title:
Contact Phone Number:
Fax Number:
Contact Email Address:
Web Address:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Focus of Organization (Check All That Apply) Youth
Health & Wellness
Community Development
Other
Provide a brief overview of the organization and its mission:
Provide a brief explanation of why you think this non‐profit
deserves to win the free high speed internet service:

Nominator Information

Your Name:
Your Phone Number:
Your Email Address:
Additional Comments:
Check here to be contacted by a sales representative about Integra service for your business:

* Integra Telecom's Community Connection campaign does not apply to governmental taxes and fees, Integra surcharges, long distance fees or usage, voice messaging, calling features, or other ancillary fees. Three-year term required. Customer locations must be in Integra's network service area. Other limitations may apply.

Please select your Service Area:

Integra Community Connection