Benton / West City Economic Development Corp.


REQUEST FOR INFORMATION
You can receive Industrial Site Selection Data by submitting the following information. All information will be held in confidence. Only the Executive Director and Executive Committee members will be permitted to review this information. Please supply all requested information. When do you plan on starting your project? Immediately 6 - 12 months 12 months or more

Name:
Project Code Name:
Company Name:
Address:
State / Province:
ZIP / Postal Code:
Country:
Phone (w/ area code):
E-mail:
Comment:	Please provide additional information on your project.