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Plumbing 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:
E-mail:
 Canadian Province:
Please list any other business names:

Service Department Information

# of Trucks:
 # of Technicians:
 # of Helpers/Apprentices:

Types of Service

(Select all that apply.)

% Commercial Work:   % Industrial Work:   % Residential Work:  
*Do you sub-contract any of your work?
   
Hours of operation:
*Do you provide 24 hour emergency service?  
If yes, what is the response time?  
Services Areas: (zip codes, cities, counties, states)
Can you supply digital pictures of your work?

 

Licenses

*Do you hold all the required plumbing licenses?
Please list each type of license you hold along
with the license number:
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.