If you are interested in becoming an NG&G Service Provider, please complete the form below.
Your information will then be submitted to our Network Department for review.
NG&G has resale certificates in the following states; CT, FL, IA, NJ, NY, and TX. Any invoice for work performed in these states should not have sales tax included in the price as NG&G will remit directly to the state. For a copy of the resale certificate, please click here. Select your state and print down a copy for your records.
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Questions marked by * are required.
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* Company Name:
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* Contact Person:
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* Email Address:
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* Physical Address:
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Billing Address:
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* City:
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State:
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Canadian Province:
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* Zip Code:
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* Phone Number:
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Cell Phone:
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Fax Number:
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* Please specify your service coverage area:
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* Are your invoices written in Canadian or US funds? Canadian US Funds |
* Are you a Union company? Yes No |
* Are there additional fees for Same Day Emergency Service? Yes No |
If Yes, please specify below:
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* Do you add any miscellaneous fees to your invoices? Yes No |
If Yes, please explain:
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* Number of Techs:
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* Number of Vehicles:
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Years in Business:
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% of Commercial Work:
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% of Residential Work:
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* Hours of Operation:
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* Do you sub-contract any of your work? Yes No |
* Do you provide 24-hour emergency service? Yes No |
* Do you have a digital camera available? Yes No |
Please list each type of license you hold, along with the license numbers:
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* Tax ID Number:
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* Insurance: (Please select all that apply)
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* Hourly Rate:
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* Two-Man Rate:
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* O.T. Rate:
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* Holiday Rate:
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* Do you charge a travel/trip charge: Yes No |
If yes, please specify your trip/travel charges:
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* What are your payment terms?: |
* Please select the services you provide (Select primary trades only):
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Flooring Floor Tile Food Service Appliances Forklifts Furniture Gates Generators Glass/Glazing Handyman/General Repairs Hazardous Material Handling HVAC General Contracting Hydrolics Janitorial Kitchen Equipment Lighting Landscaping Lamp Recycling Lock & Key Masonry Mold Remidiation Moving Overhead Doors Painting
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Pallet Jacks Parking Lot Maintenance Pest Control Plumbing Refridgeration Restoration Rest Room Partitions Roofing Safes Security Systems Sewer/Septic Shipping Signage Snow Removal Storage Storefront Framing Trash Compacting Vending Machines Water Extraction Water/Ice Machines Window Filming Window Washing Wild Animal Removal |
Please list any other services you provide:
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Please list at least 3 client references:
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* Do you provide services for any other national / regional companies? Yes No |
If Yes, please list the companies below and the services you provide:
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* The following agreements are required in order to be considered:
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