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Company Information
*
Federal Tax ID No.
*
Date
*
Company Name
*
Address
*
City
*
State
*
Zip Code
Website
*
Company Owner
*
Year Business Established
*
Number of Employees
*
Annual Sales
*
Geographical Service Area
Check the description that best matches your company
LLC
Partnership
Corporation
Sole Proprietor
*
Is your company affiliated with another company?
Yes
No
If yes, please explain
*
Has your company previously submitted information to PeakUSG?
Yes
No
If yes, what has changed? (Developed new capabilities, markets, acquisitions, grown?)
Contact Information
*
Main Contact Name
*
Title
*
VP of Sales Name
*
Address
*
City
*
State
*
Zip Code
*
Phone Number
Fax Number
*
Contact Email
*
Are you a sales representative that represents multiple companies?
Yes
No
Product Information
*
Description of proposed product or service
*
Do you manufacture the product or distribute? If manufacturing where are your facilities?
*
Description of product's or service competitive advantage
*
Who do you consider to be your direct competitors?
Business References
*
Do you currently provide your product or service to other Peak companies?
Yes
No
Please list three contractors you have worked with in the last three years:
1.
*
Company Name
*
Contract Description
*
Annual Volume Amount
2.
*
Company Name
*
Contract Desciption
*
Annual Volume Amount
3.
*
Company Name
*
Contract Description
*
Annual Volume Amount
Is there anything else to be taken into consideration when reviewing your proposal?
Submitted by
*
Name
*
Title
*
Date
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Home
Services
Companies
Track Utilities
SiteWise
Kelly Cable
Riley Brothers
Management Team
Contact
New Vendors