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First Name:
Last Name:
Title:
Company:
Address:
City:
State:
Country:
ZIP:
Phone:
Fax:
E-mail:
Web address:
Type of Business:
Product/Service:


Project Requirements

Type of expansion/new facility you are planning:
   Headquarters
   Distribution
   Manufacturing   Please list product::
  R&D   Please Specify:
   Service   Please specify:
   Other   Please specify:


Building
Total minimum sq. ft.:
Total maximum sq. ft.:
Ceiling height (minimum ft.):
Office space sq. ft.:

Site
Minimum acres:
Maximum acres:

Project timeframe: Immediate 6-12 months 1-2 years Over 2 years

Project type: New Expansion Relocation Existing Wisconsin business seeking assistance

Which area(s) of Wisconsin are you considering to locate/expand your business?: Northwest Northeast Central Southwest South Central Southeast Haven't Decided Yet

Transportation needs: Airport Interstate/Four-lane highway Port Rail

Number of employees at new location
Startup:
Year One:
Year Two:


Select the top 3 most important factors in your company's location decision:
Infrastructure Quality of Life Taxes Incentives	Workforce Education R&D Resources Other (Please specify other factors)

Information requested (check all that apply): Education Enterprise Zones Financing Incentives Labor/workforce training Site Location Assistance Taxes Other:

Please provide any additional information about your location/expansion project that will help us better customize your report::


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Project Requirements