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Name and Address Information:

COMPANY ADDRESS:
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1.) Concerning New Facilities and Site Selection, would you be involved in the:

A.Final Decison

C.Information Gathering

B.Preliminary Decision

D.No Role

2.) What is your company's primary business activity at this location? (Check one category only):

3.) What is your primary job title?

01.CEO, Partner, Chairman, President, Owner

02.VP, Treas., Secy., VP of Business Development, and Other Corp. Officer

03.VP/Mgr./Dir. Real Estate, Facilities and/or Other Real Estate & Facility Personnel

04.Corporate Manager, Director

05.Architect, Engineer

06.Other Titled Personnel (Please Specify):

4.) Number of employees in your company (all locations):

A.1000+ B.500-999 C.100-499 D.50-99 E.20-49 F.1-19

5.) Your company is?

01.Actively seeking a site (within 1 year)

02.Conducting a preliminary search (act within 1 - 2 years)

03.Determining future needs/plans (act within 2 or more years)

6.) Is your company planning to:

A.Expand	C.Consolidate
B.Relocate	D.Other (Please Specify):

7.) Number of new jobs you expect to create:

8.) Your planned new facility will be: (check all that apply)

A.Manufacturing Space	sq.ft.
B.Warehouse/Distribution	sq.ft.
C.Office Space	sq.ft.
D.Land	acres
Z.Other (Please Specify):

9.) Within three years of the completion of your expansion/relocation project, what level of capital investment do you expect to have made in your new location (include land, facility costs, machinery/equipment, but do not include payroll or worker training costs)?

01.< $2million	04.$25 million - $49.9 million
02.$2 million - $10 million	05.$50 million - $99.9 million
03.$10 million - $24.9 million	06.> $100 million

10.) Within three years of the completion of your expansion/relocation project, what do you expect your annual payroll (including health and retirement benefits) to be at the new location?

A.< $1 million	D.$3 million - $4.9 million
B.$1 million - $1.9 million	E.$5 million - $9.9 million
C.$2 million - $2.9 million	F.> $10 million

11.) Are you involved in purchasing, planning, approving, recommending and/or specifying commercial real estate services (i.e. architectural, contracting, construction, engineering, financial, hospitality, insurance, legal, mortgage, property management, realty) for your company or organization?

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I would like to subscribe to the following newsletters Group C offers: (check all that apply)

A.Business Facilities eNews	Provides monthly online news and resource information for corporate executives responsible for the expansion or relocation of their companies.
B.ED Growth Strategies	This bi-monthly newsletter was created to help ED's market their communities to attract investment. It is full of short articles from professionals with a wide range of site selection and economic development expertise.

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Today's Facility Manager, The TFM Show, The TFM Forum, Business Facilities, Business Facilities LiveXchange and third party industry suppliers via e-mail to the e-mail(s) indicated above.