Cedar_Ridge_Request

Concept Clinics Request for Information

Please complete the following information and one of our sales representatives will contact you.

Business Name:
Doctor's First Name:
Doctor's Last Name:
Street Address 1:
Street Address 2:
City:
State/Province:
Country (if outside the US):
Postal Code:

E-mail:
Voice Telephone Number:
Fax Telephone Number:

How soon are you looking to build? -- Choose just one.

Within a year

1 to 2 years

2 to 3 years

3 to 5 years

over 5 years

LAND

Do you have a lot?

Yes No

If so, is it zoned for building a clinic and/or kennel?

Yes No

Size of lot:

ft. x ft.

Type of road frontage: -- Select all that apply.

State Highway

County Road

City Road

If so, do you already have access to the road?

Yes No

BUILDING

Do you have a suggested floor plan?

Yes No

Do you have an estimate of the total sq. ft. that you would like for your clinic to be?

sq. ft.

How many stories?

1 2 3

Type of exterior: -- Select all that apply.

Brick

Stone

Hardy Plank

Vinyl

Stucco

Other:

Basement:

Partial Full None

How many exam rooms?

How many surgery rooms?

1 2 Other:

Are you wanting a kennel area?

Yes No

If so, how many inside runs?

How many outside runs?

How many inside/outside divided runs?

How many dog cages?

How many suites?

How many cat cages?

How many cat condos?