APPLICATION: Nationwide Product Servicing Network                                                                                    Home >>
 
COMPANY INFORMATION
* indicates required fields  
* Name of Applicant:         Title:
* Company Name:  
* Years in Business:  
* Address:  
   
* City:       * State:  
* Zip:  
* Email:  
* Phone Number:  
Fax Number:  
SIGN INSTALLATION EXPERIENCE
Are you familiar with
LED Gas Pricer Signs?		 Yes     No
Skip to next section if answered No.
How many have you serviced?  
Which other companies do you service Gas Pricers for?  
LICENSE AND INSURANCE
Are you a licensed
electrician or sign installer?		 Yes     No
Who is your insurance provider?  
What is your
maximum coverage? 		 
Can you provide copies
of your licenses and
insurance declaration?		 Yes     No
AVAILABILITY
What type of trucks do you
have available for sign installations/servicing?		  
How many Installers do
you have at your disposal?		  
What is your hourly rate?  
How many mile are you willing to travel outside your vicinity for an installation or service?  
Can you provide 3 references? Yes     No
Do you have any questions for us?  

Click the button below to submit your application.

   

           

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