This survey is to help the City of Hartford understand the businesses of Upper Albany and assist them in their success. Business Information 1. Business Name Business owner's name 2. Street address where the business located: Street City State Zip 3. Business phone Phone number 4. Business email Email address 5. Number of Employees 1-2 3-4 5-6 7 or more 6. Days and hours business open Days of Week Open Hours Open 7. Business Description Choose one Agency Automotive Bank Bar Beauty Church Convenience Store Electronics Food Specialty Health Services Package Store Pharmacy Professional Services Retail Clothing Social Clubs Specialty Store Supermarket 8. Business Needs (Check all that appply) Business Cards Expansion Facade (Business Apprearance) Improvement Inventory Improvements Loan Applications Payment Systems Renovations Website 9. Do you have a vacant lot? Yes No 10. Approximately what acreage does your business occupy? 11. Please include any questions or concerns in the following space: Property Owner Information 12. Property owner's name Name (Either Individual Name or Company Name) 13. Property Owner's Address Street City State Zip 14. Property Owner's phone Phone number 15. Property Owner's email address Email address Thank you for your participation. Click the following button to send in your responses