Please complete the following form. *Required Field *Name Title *Company Street Address City State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA DC WV WI WY ZIP/Postal Code Country *Phone Fax Email What industry are you in? Engineering Architectural Manufacturing Utility Other What type of project are you interested in? Health Care Industrial and Manufacturing Retail Church Facilities Corporate Offices Correctional Facilities Educational Entertainment Government and Municipal Facilities Historical Renovation and Restoration Bridges and Highways How would you like us to contact you? Mail Phone Fax Email Comments Bloomington - Weddle Bros. Corporate Office 1201 W. Third Street Bloomington, Ind. 47404 P.O. Box 1330 Bloomington, Ind. 47402-1330 Voice: (812) 339.9500 - Fax: (812) 339.4260 Evansville - Weddle Bros. Building Group, LLC 4424 Vogel Road, Suite 302 Evansville, Ind. 47715 Voice: (812) 477.4147 - Fax: (812) 477.4286 Evansville - WB•Koester Construction, LLC 14601 Highway 41 North, Suite 200 Evansville, Ind. 47725 Voice: (812) 214.2000 - Fax: (812) 867.2302 Bloomfield Route 2, Box 324B Bloomfield, Ind. 47424 Voice: (812) 863-7767 - Fax: (812) 863-7259

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