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First Name
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Industry
Agriculture
Bus Line, Chartered Bus Tours, or HandyDART Services
Construction
Courier or Local Delivery Services
Fishing
Forestry
Garbage, waste removal, dump truck operation
General trucking
Health Care
Limousine or Chauffeur services
Log Hauling
Municipal Government
Marine
Moving and Storage
Oil and Gas or Mineral Resources
Performing Arts and Film
Taxi
Tourism and Hospitality
Towing
Transportation Warehousing
Other please specify below
If you selected other, please specify
Company Size
Small employers (less than 20 employees)
Medium sized employers (20 to 99 employees)
Large employers (100 or more employees)
