Wufoo

Market Analysis Service Request Form

Please use this form in requesting maps and reports generated specifically for your community or business. If you need to discuss this request in greater detail than allowed below, please contact Trisha Borgic-Mason, ECIDC Executive Director, at (217) 540-3517.

Name * Title First Last Suffix
Company *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone Number * ### - ### - ####
Mapping and Reporting Request Information

Please be thorough and specific when requesting services.
Please select the type of study area. *
Name your Study Area *

Please specify which municipality, county, zip code, congressional district, address, or lat/long coordinates you wish to study. If entering a specific site address or lat/long be sure to enter up to 3 different distance rings or drive time rings you would like to see analyzed.
Example: 1204 N 1600th Street, Shelbyville Drive time 10 minutes, 20 minutes, 40 minutes
What do you want to learn about your study area?

Write a summary of what information you are needing. This information will be used for deciding what reports or maps can best fit your need. All information recorded in this form is kept confidential if requested.
Maximum # of Reports to Fill this Request

Please specify if you wish to limit how many reports or maps are produced in order to fill your request. Please remember that ECIDC's GIS services are purchased in packages of 3, 8, 16, 50, or more reports and specialized reports are created at an hourly fee.
Do Not Fill This Out

Wufoo

Market Analysis Service Request Form

Mapping and Reporting Request Information