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2. Check All That Apply

   1. Labor and Wages
   2. Lifestyle Amenities

   1. Employee Training Assistance
   2. Regional Industry

   1. Building and Sites
   2. Utilities

   1. Site Selection
   2. Other
4. Building (sq. ft.)
6. Site (acres)
8. Ceiling Height (ft.)
10. Utility Requirements
12. Transportation Requirements
14. My time frame to relocate / expand is:

    1. Within a year

    1. 1-2 years

    1. 3-5 years
16. Name
18. Title
20. Product or Service
22. Company
24. Estimated Investment
26. Number of Jobs
28. Skills Required (NAICS/SIC)
30. Special Facility Needs
32. Address
34. City
35. State
36. Zip Code
38. Country
40. Office Phone
41. Mobile Phone
43. Home Phone
44. Fax Number
46. Email Address
48. Check All that Apply

    1. Confidential; please call/mail me at home.
    2. Please contact me to arrange a visit.
    3. I need answers now! Please call me immediately with details.
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