Investor Questionnaire

Main Contact Information

Main Contact Name *

Main Contact Title

Main Contact Office Phone

Main Contact Cell Phone

Main Contact Email

Billing Contact Information (if different from Main Contact)

Billing Contact Name

Billing Contact Title

Billing Contact Office Phone

Billing Contact Cell Phone

Billing Contact Email

Marketing Contact Information (if different from Main Contact)

Marketing Contact Name

Marketing Contact Title

Marketing Contact Office Phone

Marketing Contact Cell Phone

Marketing Contact Email

Other Company Contact Information

Other Company Contact Name

Other Company Contact Title

Other Company Contact Office Phone

Other Company Contact Cell Phone

Other Company Contact Email

Address Information

Business Physical Address

Apt, suite, etc.

Country

City

State

Zip code

Business Billing Address (if different from Physical Address)

Apt, suite, etc.

Country

City

State

Zip code

Business Information

Business Website

Business Description

Business Initiatives/Goals for 2022

Return on Investment Goals with Partnership Gwinnett

Include my company in the Partnership Gwinnett preferred vendor list.

YES

NO

How would you classify your business in the preferred vendor list?

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