Please fill out this form completely and click "Done." 

Thank you for your interest in partnering with us.

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* 1. Email Address

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* 2. Business Name

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* 3. Business Website

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* 4. Contact Person

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* 5. Contact Phone Number

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* 6. Physical Address

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* 7. Are you in Avetta?

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* 8. Trillium Facility Solutions is a NET 60 company.  Are you comfortable working under those terms?

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* 9. Do you self-perform?

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* 10. If no or hybrid, please indicate below in what trades/geographies you sub work out.

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* 11. What state(s) do you self perform in?

In the sections below, select the trade(s) your company specializes in from the dropdown, and enter your wholesale REGULAR, OVERTIME, EMERGENCY, and HOLIDAY hourly rates and TRIP CHARGE for that trade underneath. You may select up to 3 trades. Applicants who provide trade rates above the market threshold may experience a delay in call back due to volume.

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* 12. Trade #1

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* 13. Hourly rates for Trade #1 - enter whole dollar amounts only.

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* 14. Trade #2

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* 15. Hourly rates for Trade #2 - enter whole dollar amounts only.

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* 16. Trade #3

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* 17. Hourly rates for Trade #3 - enter whole dollar amounts only.

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* 18. Please list any other trade(s) you perform and the associated rates. Please list each trade and rate on a new line in the comment box below.

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* 19. Please provide any other pricing notes below.

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* 20. I have read and signed the Service Agreement

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* 21. How did you hear about us?

Thank you for your response! We will be in touch soon!

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