Contractor Sign up
Floor Care & Janitorial Contractor Application Form
HVAC/R Contractor Application Form
Landscape Contractor Application Form
Plumbing Contractor Application Form
Roofing Contractor Application Form
Snow Removal Contractor Application Form

Electrical Contractor Application Form

USM is always looking for qualified service partners to use in markets all over the country on commercial sites.

Company Information

*Company Name:
 *Address:
 *Phone #:
*Contact Person:
 *City:
Fax #:

Title:
 *State:
 *Years in Business:
Cell Phone #:

 *Zip:
 Tax ID#:
E-mail:
 Canadian Province:
Please list any other business names:

Service Department Information

Services Areas: (towns, counties, zip codes, etc.):
 
Proposed Discounted Hourly Rates:  
Electrical Hourly Rates: $ $  
Lighting Maintenance Hourly Rates:
$  
Sign Rates:
One man service truck:
$  
One man bucket truck:
$  
Two man service truck:
$  
Two man bucket truck:
$  

Do you Charge a travel rate?

 Yes No If yes $
Does your company offer any of these services? Please check all that apply:
Retrofits Relamping Route Service
Does your company own its own lift? Yes No
Are you experienced in the installation of cable for data and voice? Yes No
How did you hear about USM?
 

Thank you for taking the time to fill out the above survey; the information will be given to the Contractor Coordinator for your area.