| First Name: |
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| Last Name: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Daytime Phone: |
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| Evening Phone: |
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| Email: |
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| General Contracting Specialties: |
LineCivilAntennaElecticalSteel Fabrication |
| Carrier/Construction Experience |
SprintATTVerizonMetro PCST-MobileClearwireCricket |
| Additional Skills: |
PIMS TestersSweep TestFiber Optic TestingWireline Circuits |
| Other Skills: |
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| Year in Business: |
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| Number of Antenna Line Crews (1 crew consists of 4 workers): |
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| Crew Availability: |
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| Are Tower Climbing Crews Certified? |
yesno |
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