Mechanical Service – New Customer Form – Warwick Mechanical Group

Mechanical Service - New Customer Form

Site Information

Company Name *

Site Point of Contact Name *

Site Name *

Site Street Address *

Apartment, suite, etc

City *

State *

ZIP Code *

Phone *

Email Address *

Confirm Email Address *

Billing contact info is the same as the site *YesNo

Billing Information

Billing Point of Contact Name *

Company Name *

Billing Street Address *

Apartment, suite, etc

City *

State *

ZIP Code *

Phone *

Should invoices be emailed?YesNo

Billing Email Address

Confirm Email Address

Do you use a portal for work order or invoice processing?YesNo

Portal Name

1. In an effort to provide you exceptional service, what do you expect from our service team to earn your future business?

2. Is this your only location?YesNo

3. Can you estimate how many sq. ft this/these sites are comprised of?

4. Is anyone else involved in the decision process?YesNo

Name

Phone

Email Address

Confirm Email Address

5. Do you already have a maintenance agreement in place for this location?YesNo

6. Which mechanical service provider are you currently working with?

7. Why are you looking to change from them? What can we do to improve upon the foundation they have set?

8. Are you able to provide us with a mechanical list of all your equipment with model and serial numbers?YesNo

9. Would you be interested in getting discounted service in the future?YesNo

Signature *