Please enable JavaScript in your browser to complete this form.Company Name *Company Owner Name: *FirstLastPrimary Contact Person: *FirstLastPrimary Contact Phone #: *Primary Contact E-mail Address: *EmailConfirm EmailSecondary E-mail Address:Optional - for additional e-mail noticesCompany's Mailing Address: *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow many years have you been with HomeSteps? *<1 Year2 - 5 Years6 - 10 Years>10 YearsHow many active HomeSteps assets are you managing? *<5 Assets6 - 10 Assets11 - 20 Assets>20 AssetsPlease provide a list of the counties you currently cove for HomeSteps:Do you have any Preservation & Maintenance subcontractors you would like to refer to GTJ? *YesNoPlease provide contractor(s) name, phone number and e-mail address: *Preferred time (M-F) for GTJ rep to call you to discuss the HomeSteps program: *Anytime9 am - 11 am12 pm1 pm - 4 pm5 pmDo you have any Documents and/or Files you would like to Share with GTJ? *YesNoDocuments/Files * Click or drag files to this area to upload. You can upload up to 5 files. You may upload up to 5 image, word, excel or PDF'sAdditional comments or information:Thank you very much for your time and partnership! We look forward to working with you on the HomeSteps programCommentSubmit