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Name:
Company:
*
Address:
Address 2:
*
City:
Select One
Portsmouth
Newington
Greenland
Rye
North Hampton
State:
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Zip Code:
*
Phone:
Cell:
Fax:
*
Email:
How Large is your lot? (sq. ft)
Select One
up to 50,000
50,001 - 100,000
100,001 - 300,000
300,001 and above
How many parking spaces
are found in the lot?
Select One
0-50
51-100
101-300
301-500
501 and above
Have you utilized a snow
removal contractor before?
Yes
No
Have you utilized Crescent
Plowing Services before?
Yes
No
Do you require our services
at multiple locations or
properties?
Yes
No
Identify the type of property
requiring service?
Select One
Office Building / Office Campus
Educational / Religious Facility
Grocery / Specialty Retail
Industrial Property
Shopping Mall / Strip Center
Multi-Residential Housing
Do you require a per-time
quotation?
Yes
No
Do you require, or would
you be interested in a
seasonal contract?
Yes
No
Do you need sidewalk
services?
Yes
No
Are there specific areas
designated for snow to be
piled, placed, or plowed?
All services should be
completed by (AM/PM):
Is there a property manager
or individual available for
a site inspection?
Yes
No
Are there factors like shift
changes, traffic schedules,
and special property
requirements we need to
be aware of?
Questions: