Contractor Partner Questionnaire

With high nationwide demand for Pure UVC systems, we are seeking exceptional electrical contracting firms to register with us for project leads. This is a no-cost opportunity to secure your position in the rapidly growing UV Disinfection industry, and to build a long-term mutually-beneficial partnership with an industry leading company.

Firm Name

Firm Website

Firm Address (Street, City, State, Zip)

Contact Name

Contact Position

Contact Phone Number

Contact Email Address

What is your firm's territory coverage?

Is your firm licensed, bonded, and insured? (Check all that apply) Is your firm licensed, bonded, and insured? (Check all that apply) Licensed Bonded Insured

Is your firm certified for public projects? Is your firm certified for public projects? Yes No

Do you charge for labor estimates? Do you charge for labor estimates? Yes No

Please enter any comments, questions, or additional information here.

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