Member of the American Institute of Architects
Member of the American
Institute of Architects

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Tell Us Your Needs
Please fill out and e-mail or fax back to us this form. We will contact you to set up a meeting and discuss your needs based on the information provided.

PERSONAL AND COMPANY INFORMATION

Last Name
First Name
Middle Name
Street Address
City
State
Zip
Telephone No
Fax No
E-mail Address
Web Address if one available
Company´s Name
Product or Services Sold (please be as specific as possible)
Street Address
City
State
Zip
Telephone No
Fax No
E-mail Address
Web Address if one available
Responsible Party to be contacted
Telephone No
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TYPE OF SERVICE REQUESTED (please check all those that apply)

01 Architectural Design Services
02 Interior Design Services
03 Urban Infill or Urban Planning
04 Construction
05 Construction Management
06 Owner’s Representative
07 Architectural Value Engineering
08 Zoning Due Diligence
09 Federal, State, County or Municipal Government, Owner or Project Representation
10 Airport Authority Owner or Project Representation
11 Feasibility Study
12 Land Acquisition due Diligence
13 Real Estate Research

SPECIFIC PROJECT NEEDS AND OBJECTIVES
Please state in a short paragraph what are the objectives to achieve with this project

TIMING AND FINANCING

Please state the the projected timing allocated to get this project completed Please indicate if financing for the completion of this project has been secured Yes       No
Please state the allocated budget to get this project completed If financing has been secured please indicate source

If financing will be or it is being sought after, please indicate source and if supporting design or budgetary documents are required to be filed with Lender

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