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| 2. | Primary business of your company or employer. (select only one) |
| Electrical Contracting/Low-Voltage Contracting - includes power (inside, line, lighting, maintenance, control etc.) electrical work, and/or all VDV, security, fire/life safety, fiber optics, home/building automation systems, and integrated building systems applications |
| Engineering/Architecture/Consulting |
| Systems Integration/Consulting |
| Wholesale/Distributor |
| Other (please specify) |
| 3. | Primary job title or function: (select only one) |
| Executive Management: Owner, Partner, President, VP, General Manager, etc. |
Estimators |
| Management: Project Manager, Superintendent, Supervisor, Foreman, etc. |
Purchasing Agents, Buyers |
| Electrician (field), Journeyman, Technician, Installer, Service Person, etc. |
Other (please specify) |
| Staff Engineer, Designer, Electrical Engineer |
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| 4. | CHECK ALL of the Building Components you or your Company have installed. (select all that apply) |
| 5. | Total number of people who work for your company. (all locations combined) (select only one) |
| 6. | CHECK ALL Construction Types you or your company have performed. (select all that apply) |
| 7. | What is your company's estimated total annual sales? (select only one) |
| 8. | In lieu of a signature, we require a personal identifier. To verify that you submitted this application please select below the day of your birth. What is the day of your birth? |
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| | What Industry are you looking to open your Franchise in? (please specify) |
| | Capital To Invest: (select only one) |
| | Net worth: (select only one) |
| $100,000 to $200,000 |
$800,000 to $1,000,000 |
| $200,000 to $500,000 |
Over $1,000,000 |
| $500,000 to $800,000 |
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| | Net Worth: (select only one) |
| | Capital To Invest: (select only one) |
| | When would you like to start? (select only one) |
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