Cossio Insurance Agency Party Equipment Rentals
Company Information
Corporate Name:
Trade Name:
Effective Date:
FEIN & SS#:
Contact Person:
Date of Birth:
Phone Number:
Cell Number:
Fax Number:
Email Address:
Website:
FEIN:
Entity Type:
Mailing Address:
City:
State:
Zip code:
Location Address:
City:
State:
Zip code:
Operation type?
with operators
without operators
both
With Operators Estimated Annual Receipts:
$
Without Operators Estimated Annual Receipts:
$
Total Items Value:
$
No. of years in business?
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