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* 1. Business Name:

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* 2. I am a ______ applicant.

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* 3. Owner(s)/ CEO/ Authorized Person Name(s):

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* 4. D.B.A. (if applicable):

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* 5. Mailing Address:

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* 6. Street Address:

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* 7. Phone:

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* 8. Email:

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* 9. Website:

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* 10. Email Provider (ex: Gmail, Hotmail, YAHOO)

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* 11. Yard Management System:

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* 12. Please, select each standard to show that your company agrees to abide by this Customer Service Standard.

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* 13. Please, select each standard to show that your company agrees to abide by these Description Standards.

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* 14. Please, select each standard to show that your company agrees to abide each Scheduling and Delivery Standard.

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* 15. Please, select each standard to show that your company agrees to abide by each Warranty Standard.

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* 16. Please, upload a copy of your warranty.

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* 17. Please, select each standard to show that your company agrees to abide by each Best Business Practice

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* 18. Please, select that you agree to brand the Gold Seal logo in each the following manner.

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* 19. Please, select that you agree to follow Gold Seal requirements to stay an active member.

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* 20. Please, upload a copy of your logo so that it can be added to our Gold Seal Facebook page.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 21. Please, upload 1 of 5 pictures of your business so that it can be added to our Gold Seal Facebook page.

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* 22. Please, upload 2 of 5 pictures of your business so that it can be added to our Gold Seal Facebook page.

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* 23. Please, upload 3 of 5 pictures of your business so that it can be added to our Gold Seal Facebook page.

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* 24. Please, upload 4 of 5 pictures of your business so that it can be added to our Gold Seal Facebook page.

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* 25. Please, upload 5 of 5 pictures of your business so that it can be added to our Gold Seal Facebook page.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 26. I have received a banner at my facility?  

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* 27. I have received a banner at my facility, but would like to purchase another one at cost?

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