Company InformationCompany NameMailing AddressOffice PhoneFax NumberWeb AddressDispatch E-Mail Address City, State, Zip CodePrimary NSC ContactName and TitleE-Mail Address Phone NumberCell Phone NumberFax NumberIn-House Service CapabilitiesPlease check appropriate box after each areaGas Yes No Sub Agent Ware Washing Yes No Sub Agent Plumbing Yes No Sub Agent Steam Yes No Sub Agent Beverage (hot & fountain) Yes No Sub Agent Electrical Yes No Sub Agent Refrigeration Yes No Sub Agent Hood Systems Yes No Sub Agent Welding Yes No Sub Agent HVAC Yes No Sub Agent Installation Yes No Sub Agent Residential Services Yes No Sub Agent Service Information# of Service Technicians# of CFESA Certified Technicians# of TrucksTotal # of EmployeesStandard Business HoursStreet RatesTravel RatesOvertime Rates# of Branch Locations# of Satellite LocationsService Dispatch Email Address# of Service Calls Per YearAre You 24/7/365 Yes No Please List All Manufacturers You Currently Are Authorized ForManufacturers EmailThis field is for validation purposes and should be left unchanged. NSC Premier Service Network