Quote Request

AFS FACILITATES SALE OF "MODEL TRANSACTION" IN DALLAS!  AFS FACILITATES SALE IN NORTH CAROLINA!  CLICK "IN THE NEWS" FOR DETAILS!

 

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Confidential Information Request Form

(AFS understands the critical importance of the confidentiality of your company's information and this correspondence. This information will NEVER be shared with another party without the written consent of the submitter of this information. This information is provided by you for the sole purpose of an initial introduction to AFS and will be held in the strictest of confidence.)

Please complete the following information about your company and your interests for a confidential evaluation.

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Your Company
Who should we contact?
Your Title
Contact Phone
Best Time to Contact
Address
Contact E-mail
Company Website
Primary Interest
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Years in Business
# States in Which You Operate
Ave. # Accounts Generated Monthly 
Total # of Accounts Owned
* Residential
* Commercial
* Fire
Total Monthly RMR
Types of Equipment Owned
Other pertinent information
AFS should know about  your business 
Comments/Goals/Timelines/Expectations