Customer Information Form

What is your suite number and address?*

What is your email address?*

What is your company's industry?*

If Other, please specify.*

Provide a brief description of your company's core operations, products, and/or services.*

How many total employees work for your company?*

How many employees work at this location?*

How many years has your company been in business?*

Do you have any affiliations or partnerships with other businesses or organizations?*

If Yes, please describe.*

Are there any specific environmental, health, or safety regulations that your company must adhere to?*

If Yes, please describe.*

Is any equipment, machinery, or technology used in your operations and/or production process?*

If Yes, please describe.*

Are there any specific infrastructure or utility requirements that are essential for your operations (e.g., high power capacity, specialized waste disposal, etc.)?*

If Yes, please describe.*

Is there a typical flow of goods or materials in and out of your facility (e.g., frequency, volume, transportation methods, etc.)?*

If Yes, please describe.*

What is your projected annual revenue for this year?*

Do you plan to expand or grow your business in terms of space?*

If Yes, what is your estimated time frame for expansion?*