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Site Information Request Form

All inquiries are considered CONFIDENTIAL. The information submitted by you will be used only to obtain the information that you request. XEGC will not release your name to anyone without your permission.

* denotes required fields to be filled out.

Company Information

* Name:

Title:

* Organization:

* Street address:

address (continued):

*City:

State/Province:

Zip/Postal code:

* Country:

* Work phone:

Fax:

* E-mail:

URL(website):

Project Information

* Product:

* Proposed employment:

Proposed investment:

Site Size Requirements

* Minimum site size desired:

acres
hectares
 * Maximum site size desired:

acres
hectares

Transportation Requirements

Desired proximity to 4 lane highway:

miles
kilometers
Not Important
 Special truck requirements:
Yes
No

If yes, number of trucks per year:

Utility Requirements

Gas:

cubic feet/month
cubic meters/month

Water:

gallons/day
cubic feet/day

Sewer:

gallons/day
cubic feet/day

Electricity/Peak demand:

 kwh/month

Other special utility requirements:

* Projected start-up date for project:

Other special site requirements: