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Home Improvement, Handyperson, Carpentry, Survey
Please complete this contractor survey for a no-obligation quotation.
The information that you provide in this survey will only be used by this agency to communicate with you. It will not be sold or provided to any other source.
Name of person completing this survey
*
Exact Business Name
Owner's first name
*
Owner's last name
*
Street
*
City
*
State
*
Zip
*
Business phone ###-###-####
*
Cell phone ###-###-####
Email
*
confirm Email
*
Business website address (if there is no website address enter "none")
Business type
*
Corporation
LLC
Individual - Sole proprietor
Partnership
Not sure or not yet formed
How many years has this business been in operation? Enter 0 (zero) if a new business.
*
Has any owner conducted business under a DIFFERENT business name other than the one listed on this survey in the past 5 years? If yes, provide former business name, reason for name change, all owners and indicate operations.
Is this business the primary means of earning a living for any owner?
*
Primary means of earning a living
Supplemental means of earning a living
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