1. What is the full name of your business? *

2. What name do you do business under? *

3. Main business phone number(s) *

4. Toll free number(s)

5. Business fax number

6. Business E-mail address *

7. Business web site address (URL)

8. Business street address *

9. Business City, State & Zip Code *

10. Business hours of operation

11. When, where and how was your business started? *

12. Give a brief history of the founder(s) and how he/she/they came to start the business *

13. Describe the services or products your business offers, emphasizing the one(s) you
consider most important *

14. Who owns and operates the business today?

15. Describe any major events that have changed your business in a dramatic way
(obstacles overcome, important developments, etc)

16. Describe the relevant staff and/or management who runs the business *

17. Give your company mission statement and explain how it impacts the day-to-day operations *

18. What is the #1 distinction that sets your business apart from the competition?

19. How would you explain your philosophy of business to someone you'd just met?

20. Describe any relevant information about your business's community involvement/commitment to social responsibility

21. What happened on the day you remember as your best (so far) in this business?

22. Describe the accomplishment (so far) in your business of which you are most proud

23. Give one fact, anecdote, story or other piece of information not already covered here that may prove interesting for a story

24. Other suggestions or comments

Thank you for taking your valuable time to fill out this form. You will be given a proof within two weeks.