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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:   

State:
Zip Code:        

Province:        

Country:         

Phone:              

Fax:              

E-mail:

 

Corporate Credit Reference #    

Number of full-time employees

Number of Independent contractors employed

Company DUNS 


Project Referencess

(1)

Name           

Company          

Address            

City
State

Province           

Zip Code           

Country            

Phone              

(2)

Name    

Company          

Address           

City     
State

Zip Code          

Province           

Country            

Phone              

(3)
Name

Company         

Address           

City   
State

Zip Code           

Province          

Country           

Phone             


Credit Referencess

(1)

Name     

Company   

Address    

City         

State

Zip Code   

Province   

Country    

Phone      

(2)

Name   

Company  

Address   

City        

State

Zip code  

Province  

Country  

Phone     

(3)

Name  

Company 

Address    

City

State

 Zip Code

Province   

Country    

Phone      


Bank References

Name      

Bank Name

Address    

City       

State

Zip Code

Province  

Country   

Phone     


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

Vermont

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

Name:

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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