National Network Alliance

National Network Alliance for carpet & floor cleaning, care, restoration and maintenance

• We encourage floor care & cleaning professionals from all over the country to contact us about joining our National Network Alliance.
• While we will review every application, we will provide no work to a service provider until certain steps are taken.
• Before beginning work:

1. All CMR paperwork is completed including application and W9
2. Standard background check completed
3. Job references reviewed
4. Copies of your liability insurance with CMR Alliance LLC listed and auto insurance received.

• We encourage you to submit your information to us to join our network alliance.
• Before contacting CMR, make sure you have:

1. Liability insurance
2. Automobile insurance
3. Worker's compensation insurance
4. Job references
5. Cellular service and internet access/email.

• Submit your information below and we will contact you shortly.

BOLD denotes required information.
*Full Name:
*Company:
*Street Address:
*Address 2:
*City:
*State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip:
*Phone:
	(xxx) xxx-xxxx
*E-mail:
	xxxxxxxx@anysite.com
Are you licenced:	Yes       No
What State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Are you bonded:	Yes        No
What State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
1. What type(s) of service does your company offer?
Carpet Cleaning Carpet sales and/or installation Water damage restoration VCT cleaning and refinishing VCT sales and/or installation Other tile surface cleaning Other tile surface sales and/or installation Wood floor sanding and refinishing Wood floor screening and recoating Wood floor refurbishing Wood floor paste waxing Wood floor sales and installation Marble polishing Marble refubishing Marble diamond disking/honing Marble sales and/or installation Post construction clean-up Janitorial cleaning: Daily Scheduled Janitorial Services Wood Floor Detailing
2. How long has your company been in business?
3. How many employees do you employ?
4. How is your business organized?
C/S-Corporation LLC Partnership Sole Proprietor
5. What is your EIN number?
6. How are your phones answered?
Voice mail/ answering machine Phone service Office personnel Other
7. How do you communicate with your technicians?
Pager   Cell phone Other
8. What associations or organization does your company currently belong to?
1. 2. 3. 4.
9. What certification(s) do you currently hold?
10. What percentage of your business is...
Commercial: % vs.
Residential:   %
11. What is your largest commercial contract (Square footage)?
12. What shifts do you currently operate?
Day   Evening   3rd
13. Does your company have these communication capabilities?
Internet access   56K Modem   Fax Modem
14. What method(s) of carpet cleaning can you provide?
Hot water extraction Bonnet (Low moisture) Shampoo Dry compound Other
15. What type of equipment do you use and how many of each? Type Total Count
Truck Mount   Portable extractor   Rotary Machine   Agitation machine   Upholestry machine   Dry Compound machine   Pile lifter   Air mover   Dehumidifier   Propane stripping machine   Hi-speed Propane buffer   Electrical buffer   Electrical hi-speed buffer   Autoscrubbers   Wet vac. machine   Others?   What and how many: