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The Leader In Foodservice Equipment Repair
Service Partner Application Form
Company Information:
Company Name
Mailing Address
City, State, Zip Code
Office Phone
Fax Number
E-Mail Address
Web Address
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
Steam
Yes
No
Sub Agent
Refrigeration
Yes
No
Sub Agent
HVAC
Yes
No
Sub Agent
Ware Washing
Yes
No
Sub Agent
Beverage (hot & fountain)
Yes
No
Sub Agent
Hood Systems
Yes
No
Sub Agent
Installation
Yes
No
Sub Agent
Service Information:
# of Service Technicians
# of CFESA Certified
# of Trucks
Total # of Employees
Are You 24/7/365
Yes
No
Standard Business Hours
Street Rates
Overtime Rates
# of Branch Locations
# of Satellite Locations
Please List All Manufacturers You Currently Are Authorized For:
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Contact Us
or call (800) 434-7861 for more information about the NSC
Copyright © 2008 National Service Cooperative. All rights reserved.
