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Partner Application

Submit Company Information

Company Name *

Street Address *

City *

State *

Zip Code *

 Phone *

Email *

Your Name *

Contact Title

Web URL:

Please list any other business names:

List all services that your company provides: *

What type of cleaning equipment do you have? *

List the areas that your company has the ability to serve. (city and state/province)*

Is your company certified as a Minority/Women-Owned Business Enterprise?*

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Is your company a Veteran-Owned Business or a Service-Disabled Veteran-Owned Business?*

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Does your company have General Liability Insurance?*

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