Please, complete the following form so we may contact you regarding your expressed interest in our services.
*First Name: Middle Initial: *Last Name:
*Company required if box is checked.
Company: Check box if this is a business/organization.
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Please, select any number of methods in which we may follow up with you.
*You must select at least one method in which we may contact you.
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If you could include your latitude and longitude, it's very helpful for us in determining servicability.
Latitude: Longitude:
Check the box below if you, or someone you know, may be interested in becoming a shareholder of Vic Innovations, Inc.
Yes, I may be interested.
When we expand to an area, it's often necessary to find capital for expansion purposes. We also enjoy having a local stake in business wherever we go so please let us know if it would be a consideration.
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