Name Company Street City State Zip Phone Fax Email Type of business Would you prefer to lease, build, or purchase property? Type of Property to purchase, build, or lease: Building for office space Building for manufacturing Building for warehouse space Do you need access to any of the following? Rail Interstate Normal access roads Water (Port facility) Square footage to lease, build, or buy: 1,000 to 5,000 5,000 to 10,000 10,000 to 25,000 25,000 to 50,000 100,000 plus If land is needed, estimated acreage When is relocation anticipated? Will any financing need to be arranged? Yes No Any special needs: