Eaton Certified Contractor Network Application

Contractor Information
Company Name:
Company Address:
Company Address 2:
City:
Province:
Postal Code:
Company Phone:
Company Fax:
Company Website:
Name Of Pref. Distributor.
2nd Location (optional)
Address:
Address 2:
City:
Province:
Postal Code:
Company Phone:
Company Fax:
3rd Location (optional)
Address:
Address 2:
City:
Province:
Postal Code:
Company Phone:
Company Fax:
   
Contractor / Owner Principal
First Name:
Last Name:
Title (check one of the following):
Apprentice President/Owner
Electrical Engineer Purchasing Agent
Electrician/Tech, Estimator Staff Engineer
Office Manager Supervisor/Project Manager
Email:
Telephone:
Business Profile Information
How many years have you been in business?
What are annual Sales?
$250K and below $1 million - $1.5 million
$250K - $500K $1.5 - $2 million
$500K - $750K Over $2 million
$750K - $1 million  
What are your anticipated annual Eaton product purchases?
How many people in your organization will participate in training certification?
0 - 5 11 - 20
6 - 10 21+

ECCN Membership and Course Participation fee

<5 employees$999
5-10 employees$1299
11-20 employees$1499
>20 empployees$1999
How many service trucks does your company operate?
How many loadcentres do you install per week?
What percentage is your business focus?
% Commercial Work
% Residential Construction
What is your business breakdown?
% Service Work
% New Construction
What is your electrical license number?
What is the name on the electrical license?
What is your license's Province of Issue or Local Jurisdiction?
Are you a member of the Better Business Bureau?
Yes No
Is your Company bonded?
Yes No
Is your Company insured?  
Yes No
Are you currently installing CH panels today?
Yes No
If no, what brand?
 
 
 
 
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