| How
long have you been in business?: |
|
| How
many people do you employ?: |
|
| Do
you own or rent your business building?:
|
Own
Rent |
| Approximate
annual sales/ revenue: |
|
Do
you store valuables on the premises?
(papers, money or securities): |
Yes
No |
| Do
you currently have business insurance?:
|
Yes
No |
| In
what state is your business located?: |
|
| Do
you have operations in more than one
state?: |
Yes
No |
| If
yes, please enter the latter zip codes: |
|
| Business
type: |
|