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REFERRED BY:	AUBA Sales Representative Business Associate Search Engine Email Newsletter Friend
REPRESENTATIVE:  (If Applicable)

1. Telephone
Review Local Only Review Long Distance Only Review Equipment Charges Review all Charges No Bills to Review

Name of your Long Distance Carrier AT&T Sprint MCI-worldcom Resaler Other

ESTIMATED SPENDING:
Monthly Expenses under $1,000 per month Monthly Expenses over $1,000 - $2,500 Monthly Expenses $2,500 - $5,000 per month Monthly Expenses $5,000 - $ 10,000 per month Monthly Expenses $10,000 - $ 15,000 per month Monthly Expenses $15,000 - $ 30,000 per month Monthly Expenses over $30,000 per month

2. Electric
No Electric Bills to Review Review all Related Electric Billing

ESTIMATED SPENDING:
Monthly Expenses under $1,000 per month Monthly Expenses over $1,000 - $2,500 Monthly Expenses $2,500 - $5,000 per month Monthly Expenses $5,000 - $ 10,000 per month Monthly Expenses $10,000 - $ 15,000 per month Monthly Expenses $15,000 - $ 30,000 per month Monthly Expenses over $30,000 per month

3. Water & Sewer 

Review All Charges No Bills To Review

ESTIMATED SPENDING: Monthly Expenses under $1,000 per month Monthly Expenses over $1,000 - $2,500 Monthly Expenses $2,500 - $5,000 per month Monthly Expenses $5,000 - $ 10,000 per month Monthly Expenses $10,000 - $ 15,000 per month Monthly Expenses $15,000 - $ 30,000 per month Monthly Expenses over $30,000 per month

4. Gas

Review All Charges No Gas Bills to Review

ESTIMATED SPENDING: Monthly Expenses under $1,000 per month Monthly Expenses over $1,000 - $2,500 Monthly Expenses $2,500 - $5,000 per month Monthly Expenses $5,000 - $ 10,000 per month Monthly Expenses $10,000 - $ 15,000 per month Monthly Expenses $15,000 - $ 30,000 per month Monthly Expenses over $30,000 per month

 

5. Hazardous / Non Hazardous Waste

Review All Charges No Bills to Review

ESTIMATED SPENDING: Monthly Expenses under $1,000 per month Monthly Expenses over $1,000 - $2,500 Monthly Expenses $2,500 - $5,000 per month Monthly Expenses $5,000 - $ 10,000 per month Monthly Expenses $10,000 - $ 15,000 per month Monthly Expenses $15,000 - $ 30,000 per month Monthly Expenses over $30,000 per month

Does your Business manufacture a product? Yes - 100% Yes - 50% No manufacturing Only warehouse    

Does your Business purchase raw goods, have work in process and create finish goods? Yes - 100% Yes - 50% No manufacturing Only warehouse Work in progress Only storage of goods Other - Please explain

Explain: