Are you a customer of CPS Energy? If so, have you ever filled out their questionnaire form? The form is designed to help the company better understand their customers and what they want from their energy provider. This information can then be used to improve service and create new programs and offerings that align with customer needs. If you haven't filled out the form yet, now is a great time to do so! It only takes a few minutes, and your feedback could help make CPS Energy even better. Plus, you could win one of five $100 gift cards for completing the questionnaire. So what are you waiting for? Start filling out the form today!
| Question | Answer |
|---|---|
| Form Name | Cps Energy Questionnaire Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | energy business questionnaire, e-mailed, cps questionnaire, 1-800-U-ASK-SBA |
(FOR OFFICE USE ONLY) |
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CPS ENERGY BUSINESS QUESTIONNAIRE
Phone: (210)
1.Name of business:______________________________________________________________________________
Doing business as:______________________________________________________________________________
(other business name, if applicable)
Contact person and title:_________________________________________________________________________
2.Business mailing address:________________________________________________________________________
City:______________________________________ State:__________________ Zip Code:________/_________
3. |
Business telephone number: ( |
Fax number: ( |
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Business |
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4. |
Is the above business name and mailing address considered the home office? ___ Yes |
___ No |
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5. |
Size: (check one of the following) _____ Small Business or |
_____ Large Business |
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(If you are having difficulty determining your size status please call SBA at
6.Please check the following applicable boxes:
Certified by SBA as a HUBZone Small Business
Woman Owned Small Business
Woman Owned Large Business
Veteran Owned Small Business
Veteran Owned Large Business
Service Disabled Veteran Owned Small Business
Service Disabled Veteran Owned Large Business
Certified by SBA as a Small Disadvantaged Business*
Small Disadvantaged Business not certified by the SBA*
Large Disadvantaged Business*
*What is your ethnicity? ___ Black American, ___ Hispanic American, ___ Native American,
___ Asian Pacific American, ___ Subcontinent Asian American
______ Historically Black College/Univeristy or Minority Institution
______ Other: Specify _______________________
7.Number of Employees: _____
8.Primary NAICS Code: _____
If the NAICS Code is unknown, please refer to www.sba.gov/size or provide a description of your materials and/or services so that we may provide the appropriate code for you:____________________________________________
_____________________________________________________________________________________________
Under 15 U.S.C. 645(d), any person who misrepresents its size status shall (1) be punished by a fine, imprisonment, or both; (2) be subject to administrative remedies; and (3) be ineligible for participation in programs conducted under the authority of the Small Business Act.
Printed name and Title :_______________________________________________________________
Signature:_________________________________________________Date:_____________________
GOOD FOR ONE YEAR PERIOD. IT IS YOUR RESPONSIBILITY TO NOTIFY US IF YOUR SIZE OR OWNERSHIP STATUS CHANGES DURING THIS PERIOD. PLEASE LIST, ON THE BACK OF THIS FORM, OR AN ATTACHED SHEET, ALL OTHER BUSINESS NAMES AND LOCATIONS THAT ARE AFFILIATED WITH YOUR FIRM, E.G., BRANCH LOCATIONS, ETC.
Questions about this document should be directed to the phone number listed above, or