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Company

First Name

Last Name

Title

Address 1

Address 2

City

State/Province

Zip / Postal Code

Country

Phone   Format: 111-222-3333

Email

Website   Format: http://www.example.com

Type of Firm
Manufacturing
Service Company
Real Estate Related
Distribution/Warehouse/Logistics
Other

SIC Code/General Industry


SIC Other (please explain)

Number of Employees
1 - 19
20 - 49
50 - 99
100 - 499
500 - 999
1000+

Does your company have any relocation or expansion needs?
Yes
No

Are you involved in site selection or corporate real estate?
Yes
No

If Yes, Please Indicate the Type of Involvement
Final Decision
Preliminary Decision
Information Gathering
No Role

Comments or Questions


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