Business Name:

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* 1. Business Name:

I am a ______ applicant.

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* 2. I am a ______ applicant.

Owner(s)/ CEO/ Authorized Person Name(s):

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

D.B.A. (if applicable):

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

Mailing Address:

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* 5. Mailing Address:

Street Address:

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* 6. Street Address:

Phone:

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* 7. Phone:

Email:

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* 8. Email:

Website:

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* 9. Website:

Email Provider (ex: Gmail, Hotmail, YAHOO)

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

Yard Management System:

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* 11. Yard Management System:

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

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

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

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

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

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

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

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

Please, upload a copy of your warranty.

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

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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Please, select each standard to show that your company agrees to abide by each Best Business Practice

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

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

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

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

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

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

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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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No file chosen
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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* 21. Please, upload 1 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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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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* 22. Please, upload 2 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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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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* 23. Please, upload 3 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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No file chosen
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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* 24. Please, upload 4 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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Please, upload 5 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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No file chosen
I have received a banner at my facility?  

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* 26. I have received a banner at my facility?  

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

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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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