Sign-Up Page

Company Name*
Select the network you are interested in joining*	Landscape Snow Pest Management Custodial Parking Lot Maintenance Plumbing-Heating-Cooling Maintenance & Repair/Locksmith Electrical/Lighting
Primary Contact*
First Name
Last Name
Address*
City/State/Zip*
Telephone Number*
Fax*
After-hours number/Cell
Email Address
Web Site
Interested in receiving text message updates for weather alerts and work opportunities?*	Yes No
Services your Company Offers*
Zip Codes Where You Service
Estimated Annual Gross Revenue*
Insurance Coverage and Liability Limits
General Liability Limits*
Automobile Limits*
Workers Comp Limits*
Insurance Agent Contact Info*

Breakdown of Gross Revenue Volume

% Commercial*
% Residential*
% Other (Please Specify)*
% Subcontract*
Amount Purchased in the Last 12 Months
Operating Equipment
Industry-Related Chemicals
Fuel
Other (Please Specify)
Does your company have a current business license?*	Yes No
If yes, what is your license number?
If no, please explain*
What industry license does your company currently hold?
Total Years Experience*
Year Established*
Number of Full-time Employees*
Number of Crews*
Number of Company Vehicles*
Are vehicles branded with company name?*	Yes No
Please list any trade or industry associations you belong to (Locally or Nationally)
Franchises
Is your company a part of any franchise organization?*	Yes No
If yes, which one?*
References*
Please list two references of current clients*
Client 1*
Contact
Phone
Client 2*
Contact
Phone

Purchase Power Partners (P3s) - Symbiot has negotiated special pricing and other advantages with the companies listed below.
Please check the purchase programs below that your company would like to use.*

Quality Spray & Equipment	Designed two spray rigs specifically for Symbiot Members; call for discount
Balboa Capital	Lease financing program specific to the needs of the Network Members
BP Oil	Up to a 4.5 cent discount on every gallon of fuel purchased
Hertz	Car class upgrades, savings on weekly / weekend rentals & more
FirstView	Direct deposit payroll card company designed for unbanked workers; special Symbiot benefits
Dell	Access to the premier program: various discounts available
ExxonMobil	Save 5 cents per gallon
Futuro Solido	Provides products & services designed to bridge language & culture gap between Hispanic & American employees: 10% discount
GE Money	Offers financing solutions for your customers to undertake landscaping projects. Receive preferred pricing.
Global Conf. Partners	Free teleconferencing service
Grainger	Receive national account pricing / opportunity for rebate. 280,000 skus in stock.
Hertz	Car class upgrades, savings on weekly / weekend rentals & more
Intl. Insurance Brokerage	Group rates on Major Medical and Limited Benefits health insurance
Budget	Special Symbiot price on used box trucks and cargo vans
Sunbelt Rentals	5% off daily, 7.5% off weekly, and 10% off monthly rentals on all equipment
Meyer/Swenson Products	Rebate of $50-$500/ purchase based on product and time of year
The Pre-Check Company	Receive 10% off background checks
Quickbooks	15-20% off Quckbooks and Quicken products
Sprint / Nextel	Receive 11% off your monthly phone bill
Staples	Average 15% discount at StaplesLink.com
Jiffy Lube	10% off all services with account code
The Labor Company	Full service H2-B provider that handles the multi-layered bureaucratic process. Receive preferred rates.
The Home Depot	Receive rebate of 0.5-1.5% on all purchases depending on member status & aggregate volume
Paychex	15% discount on payroll services
Toro: Landscape	Receive national account pricing on Toro Landscape Contractor Equipment
Toro: Compact Utility	Receive national account pricing on Compact Utility Loaders (Dingo) and attachments
UniFirst Corporation	Receive 20% off Uniform rentals & purchases

Upon acceptance as a Symbiot Network Member, we authorize all Symbiot P3 Partners to release to Symbiot Property Services – America, LLC., any purchase history, credit account balances or other information pertinent to the administration and distribution of funds. This information and the funds associated with the information relate back to specific Symbiot P3 purchasing programs and rebate programs. This authorization is good for any current or future Symbiot P3 Programs.

Check For Acceptance

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Grow Revenue & Reduce Expenses ...by joining our nationwide building services supply chain

Grow Revenue & Reduce Expenses
...by joining our nationwide building services supply chain