Name:

Title:

Company:

Address 1:

Address 2:

E-Mail:

Web Site:

How did you hear about YBC? Select one... Blue Book Direct Mail Internet Search Magazine Ad Referral Sweet's Catalog Thomas Registry Trade Show YBC Nameplate

Second, tell us about the project you'd like to discuss.

Your project information...

Project Name:

City:

State:

This bridge work is to be for what type of property?

Select one... Residential Property Commercial Property Municipal Property (park, bike path, etc.) Private Property (personal) Golf Course (public or private) School (college, high school, private, etc.) Other (see notes section below)

Current stage of this project?

Select one... Feasibility (seeking information only) Feasibility (seeking preliminary design information) Feasibility (seeking to compile budget) Early permitting (need design information) Bidding - need pricing for bid Construction - need pricing (ready to schedule)

Approximate timeframe for construction of this/these structure(s)?

Select one... Immediate Within 30-60 days Within the next 2-6 months 6 months to 1 year 1 year of more

How many bridges are involved in this project?

Select ... One More than one (see notes section below)

What the bridge will be crossing is a:

Select one... Wetlands Marshland Stream Creek River Pond Lake Tributary Storm Wash Ravine Seaside None of the above (see notes section below)

What will be the usable deck width of your bridge?

What will be the total length of the bridge? If multiple bridges are required, please list each with lengths in the notes section below.

Tell us what the crossing will be used for:

Light Pedestrian Traffic		Light maintenance vehicles (golf carts, mowers)
Heavy Pedestrian Traffic		Heavy maintenance vehicles (dump truck, backhoe)
Bikepath Traffic		Light motor vehicle (low speed automobile traffic)
Equestrian		Moderate to heavy vehicular traffic (development, entryway, multilane road)
Other (please explain below)

If you chose 'Other' above, please explain:

If the bridge is for vehicular traffic, will it be used for:

Select one... One lane of traffic Two lanes of traffic only One lane of traffic with pedestrian access Two lanes of traffic with pedestrian access A multiple lane configuration (see notes section)

Additional notes about this project:

At this time, what you need from YBC is:

Select one... 'Ballpark' pricing only Proposals for approval and scheduling of work General information on timber bridges Pricing for bid (per YBC designs) Pricing for bid (per bid specifications) Design information for bid specification Information for a specific project YBC representative to call me and discuss

We value your input on how we can better serve our clients. Please tell us your thoughts and suggestions on how we can accomplish this: