Company Name: ____________________________________ |
Location(s) Reported: ____________________________________ |
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Contact Regarding Data Submittal: |
Name and Address for Survey Results: |
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Name: |
_______________________ |
Title: |
_______________________ |
Phone Number: |
_______________________ |
Fax Number: |
_______________________ |
E-mail: |
_______________________ |
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Name: |
_______________________ |
Title: |
_______________________ |
Address: |
_______________________ |
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_______________________ |
E-mail: |
_______________________ |
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Company Information: |
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Type of Business: |
_______________________ |
Annual Sales Volume: |
_______________________ |
Number of Employees: |
_______________________ |
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Annual Revenue:: |
_______________________ |
Total Asset Size: |
_______________________ |
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Are your employees represented by an Union?
[ ] No [ ]
Yes |
If yes,
how many employees are represented by an union? ________________ |
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