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Company Information
Company Name
*
Mailing Address
*
Office Phone
*
Fax Number
*
Web Address
*
Dispatch E-Mail Address
*
City, State, Zip Code
*
Primary NSC Contact
Name and Title
*
E-Mail Address
*
Phone Number
*
Cell Phone Number
*
Fax Number
*
In-House Service Capabilities
Please check appropriate box after each area
Gas
Yes
No
Sub Agent
Ware Washing
Yes
No
Sub Agent
Plumbing
Yes
No
Sub Agent
Steam
Yes
No
Sub Agent
Beverage (hot & fountain)
Yes
No
Sub Agent
Electrical
Yes
No
Sub Agent
Refrigeration
Yes
No
Sub Agent
Hood Systems
Yes
No
Sub Agent
Welding
Yes
No
Sub Agent
HVAC
Yes
No
Sub Agent
Installation
Yes
No
Sub Agent
Residential Services
Yes
No
Sub Agent
Service Information
# of Service Technicians
*
# of CFESA Certified Technicians
*
# of Trucks
*
Total # of Employees
*
Standard Business Hours
*
Street Rates
*
Travel Rates
*
Overtime Rates
*
# of Branch Locations
*
# of Satellite Locations
*
Service Dispatch Email Address
*
# of Service Calls Per Year
*
Are You 24/7/365
Yes
No
Please List All Manufacturers You Currently Are Authorized For
Manufacturers
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NSC Premier Service Network