Company InformationCompany Name Mailing Address Office PhoneFax NumberWeb Address Dispatch E-Mail Address City, State, Zip Code Primary NSC ContactName and Title E-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 Trucks Total # of Employees Standard Business Hours Street Rates Travel Rates Overtime Rates # of Branch Locations # of Satellite Locations Service Dispatch Email Address # of Service Calls Per Year Are You 24/7/365 Yes No Please List All Manufacturers You Currently Are Authorized ForManufacturers PhoneThis field is for validation purposes and should be left unchanged. NSC Premier Service Network