Company Name:
  
Contact Name:
  
Title:
  
City: (expansion location)
  
State: (expansion location)
Physical Address of Expansion Site:
  
Approximate Land Size:
  
Current Address:
  
City:
   State: Zip:
Phone:
  
Fax:
  
Email:
  
Project Timing:
  
Approximate required Sq.Ft.
  
Land Zoning:
  
Do you currently have:
    
   
Survey of location for build?
   Yes No
Architect chosen?
   Yes No
Financing arranged?
   Yes No
Build to lease interest?
   Yes No
Years in business: