Children's National at Walter Reed CBE Mixer

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* 1. Company Name

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* 2. First & Last Name

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* 3. Address

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* 4. Phone Number

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* 5. CBE CERTIFICATION

Yes

No

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* 6. Are you a Union or Non-Union Contractor?

Yes, Union.

No, Non-Union.

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* 7. Annual Revenue

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* 8. Please select the Ward that your business is located in.

Ward 1

Ward 2

Ward 3

Ward 4

Ward 5

Ward 5

Ward 6

Ward 7

Ward 8

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* 9. Please list the Projects in Washington DC that you have worked on.

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* 10. Please list other General Contractors that you have worked for in the past.