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The Next Step Is...

SURVEY

Thank you for taking the time to review our request. We highly value your feedback and would greatly appreciate it if you could complete our short survey. Additionally, we kindly ask for your assistance in spreading the word by referring others to us. There is a section at the end of the survey where you can provide contact information for individuals and small business owners.

A GIFT FOR YOU

To receive our appreciation gift and more information, please provide your contact information below. We value your time and will respond promptly.

FIRST NAME

LAST NAME

EMAIL

PHONE NUMBER (cell phone preferred)

(cell phone preferred)

PHONE TYPE

YOUR STATE

YOUR LOCAL TIME ZONE

BEST DAY TO CONTACT

BEST DAYS TO CONTACT (choose two or more)

BEST DAYS TO CONTACT (choose two or more)

ADDITIONAL CONTACT DAY

BEST CONTACT HOURS

(Examples: after 11 am, Monday morning or - more specific - Monday 9 am, Tueday 4- 6 pm)

FOR MORE INFORMATION Indicate Your Approval.

(As appropriate, information is provided through text, email, social media, Zoom (or simular), and, of course, in-person.)

APPROVED?

COMMENT or QUESTION