Application Form

First Name *

Last Name *

Phone *

Email *

Company *

Website

Street Address *

Address Line 2

City *

State *

Zip/Postal Code *

Company Information

Annual Gross Revenue *

Liability Insurance Coverage *

Service Geographic Area: *

# of Years in Business *

# of Install Crews *

# of Licensed Electricians *

List Three Professional Trade References *

Products Your Company Currently Sells *

States you currently hold licenses and what types *

Describe the Percentage Makeup of Your Work Types *

Ex. Industrial 25%, Service 30%, Commercial 30%, Residential 15%

Licenses, Special Skills or Equipment You Have *

Are you licensed in HVAC? Do you have a 60-ft. scissor lift? Tell us!

Areas of Expertise * HVAC (exhaust fans, blowers, rooftop units)
Fan Installation
Lighting/Electrical Installation (all inquiring contractors MUST have licensed electricians on staff)
General Contractors (concrete, sheetrock)

Tell us why Big Ass Fans should consider you as an exclusive installation crew: *

Thank You!

We will review your application and get back to you soon.