PCT Top 100 Entry Form Question Title * 1. CONTACT INFORMATION Your Name Your Title Company Name Street Address City/Town State/Province ZIP/Postal Code Phone Fax E-Mail Address OK Question Title * 2. What is your company's website address? OK Question Title * 3. How many offices does your company have? OK Question Title * 4. What percentage of your business is commercial vs. residential? (total should equal 100%) Residential Commercial OK Question Title * 5. What were your total revenues in 2018 (January to December 2018)? OK Question Title * 6. What percent change in your firm's revenues was there from 2017 to 2018? Increased by ____% Decreased by ____% No change OK Question Title * 7. We anticipate a ____% increase/decrease for 2019 (please include + or - symbol). OK Question Title * 8. Please indicate the percentage of your overall business in the following categories (total should equal 100%). General Pest Control _____% Termite Control _____% Turf & Ornamentals _____% Other _____% OK Question Title * 9. If you offer termite control, break down your offerings (total should equal 100%) Pre-Treats _____% Post-Construction _____% OK Question Title * 10. Please indicate the number of employees in the following areas: General Pest Control Technicians Termite Technicians Universal Technicians Total Number of Employees OK Question Title * 11. What is the name of the individual holding each of the following positions: Owner President General Manager Technical Director GPC Manager WDI Manager Purchasing Director Marketing Manager Sales Manager OK Question Title * 12. PCT profiles Top 100 firms every year in the May issue. If you have company news to share (a new office, a new sales record, an innovative service you’ve been marketing, etc.), please comment below. Thanks! OK DONE