It's easy to become a Licensed FutureFLEX Installer. Just complete the information requested below and submit for review of candidacy.
Company Name
Name:
Title:
Company:
Address:
City:
Province:
Country:
Phone:
Fax:
Corporate Credit Reference #
Number of full-time employees
Number of Independent contractors employed
Company DUNS
Project Referencess
(1)
Name
Company
Address
Province
Zip Code
Country
Phone
(2)
Credit Referencess
City
State
Zip code
(3)
Bank References
Bank Name
Strategic Summary of Business
Currently Purchase Copper and Fiber Optic Cable From:
Manufacturer direct Distributor
Total Annual Sales (including all components, cable apparatus, labor & equipment
$0-1 million
$1-3 million
$3-10 million
$10-25 million
$25 million+
Percentage of fiber optic cable and component sales to overall sales
List of Markets Served (check all that apply):
Commercial office
Entertainment
Government
Industrial
Manufacturing
Shipboard
National Retail
Education K-12
ISP/CLEC
Education University
Location of Offices Applying for Licensing (Check All That Apply)
Alabama
Kentucky
North Dakota
Caribbean
Alaska
Louisiana
Ohio
Mexico
Arizona
Maine
Oklahoma
St. Maarten
Arkansas
Maryland
Oregon
Alberta
California
Massachusetts
Pennsylvania
British Columbia
Colorado
Michigan
Rhode Island
Manitoba
Connecticut
Minnesota
South Carolina
New Brunswick
Delaware
Mississippi
South Dakota
New Foundland
District of Columbia
Missouri
Tennessee
Nova Scotia
Florida
Montana
Texas
NW Territories
Georgia
Nebraska
Utah
Ontario
Hawaii
Nevada
Quebec
Idaho
New Hampshire
Virginia
Saskatchewan
Illinois
New Jersey
Washington
Yukon
Indiana
New Mexico
Wisconsin
Iowa
New York
West Virginia
Kansas
North Carolina
Wyoming
RCDD on Staff? Yes No
RCDD Date Certified :
Are you willing to lead with FutureFLEX® products?
By submitting this form the LFI Candidate states they have read all the materials and currently meet or have a plan to meet the LFI Criteria.
The LFI Candidate has reviewed the requirements for candidacy on the web site and agrees to the following:
Will return all materials if LFI Candidacy is discontinued
Agrees to enthusiastically support the FutureFLEX® LFI Program if selected
Agrees to purposefully seek projects other than those already specified
Submit any other information and credit references indicated
Provide an overview of current company projects
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