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Become An Installer

Thank you for your interest in becoming a JetRock installer. Please complete and submit the form below:

Authorized Installer Preliminary Application

"*" indicates required fields

Business Name*

DBA Name*

In Business Since*

Business Activities (Check all that apply)

Epoxy Flooring Contractor

Flooring Contractor

General Contractor

Demo, Substrate and Concrete

Drywall, Polywall, FRP

Stainless Panels

Check all that apply*

Kitchen Equipment

Cleaning and Maintenance

Plumbing

Electric

Carpentry

Hydraulic Cement

Specialty

Other

Contact*

Title*

Email*

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Phone*

Cell*

Date*

MM slash DD slash YYYY

Office Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Warehouse Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Other Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

HR Profile

Number Of Employees*

Number Of Field Supervisors*

Number Of Employees Related To Flooring*

Number Of Project Managers*

Number Of Installation Crews*

Are Crews available 24/7*

Facilities Profile

Square Footage of Warehouse*

Loading dock with 52' trailer access*

Loading dock with 26' box truck access*

On site forklift access*

Climate controlled warehouse*

7,000+lb. rated raking system*

9 to 5 delivery acceptance*

Largest truck/ trailer capacity (pounds)*

Business Profile

Business Type*

Minority Ownership*

Veteran Ownership*

SBA 8(a) Certified*

Union Affiliated*

Business License*

One Million Dollar + Worker Comp*

One Million Dollar + General Liability*

Established D-U-N-S Number

Legal Profile

Outstanding Judgements or Liens*

Bankruptcy or Financial Reorganizations*

Pre-Existing Contractual Obligations*

Security Background Checks on Crew*

Sales Profile

Sales Staff*

Customer Relationship Management Database*

Interested in Cooperative Marketing with Jet Rock*

Active with Social Media- Linked In, Facebook, Google+ Business*

How Long Have You Maintained a Website?*

What is Your Website Address or Addresses?

Existing Client(s)

Comments

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9601 Pulaski Park Dr, Ste 407
Middle River, MD 21220
Email: info (at) jetrockinc.com
Direct line: 410-676-2672
Toll free line: 844-577-3600

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