Trial Program Application (FirstSteps):
Please provide contact information for individuals within your organization that need to be included on all meetings and other communication regarding the trial program. These contacts should include associates from your refrigeration engineering group, store development team, purchasing, etc. Also, if possible, please include contact information for any architect group that you work with if you would like for them to be involved up front (this is recommended as it has always worked well in the past for someone at the architect level to be involved in the process.
Main Company Contact:
Name
First Name
Last Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Additional Company Contacts:
Name
First Name
Last Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Name
First Name
Last Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Name
First Name
Last Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Trial Site Location Information:
Store Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Store Contacts:
If you employ a network of store technicians or maintenance personnel, please ensure their contact information is included below.
Store Contact Name
First Name
Last Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Additional Store Contact Name
First Name
Last Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Additional Store Contact Name
First Name
Last Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Contacts for Door Installation:
Additionally, please provide us with information on how you handle retrofit door installations today. It works best if we can utilize this same network for assistance with the installation of the RollSeal Door, as they are used to the electrical requirements, timing, & standard procedures that you have adhered to in the past.
Door Installer
Company Name
Name
First Name
Last Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Electrical Work
Company Name
Name
First Name
Last Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Data Monitoring Approval:
As part of the RollSeal Door Trial Program, we will install a data logger along with the installation of the RollSeal Door, which will monitor door opening events as well as temperature & humidity conditions of the backroom & the box. This data is used as part of our ROIcalculation regarding the trial. It also gives us the ability to remote monitor these conditions & keep a better eye on the door & the environment throughout the trial.RollSeal agrees that this data willnot be shared with anyone not listed on the organization contact sheet filledout by the customer as part of the trial, without the permission of the customer.
Main Company Contact Name
First Name
Last Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Signature
*
Date
*
-
Month
-
Day
Year
Date
Trial Door Pricing Details:
As part of the RollSeal Door Trial Program, RollSeal agrees to match the price that you pay for your current door solution, and to credit that amount back to your account if the trial is deemed successful, and purchase orders for additional doors are initiated. Please provide details below on your current door solution so that we can provide a quote to you for the trial door.
Details of Trial Door Model & Opening:
Model of Door Selected for Trial
Cooler Door
Freezer Door
Clear Opening Dimensions of Door Selected for Trial (inches):
Width x Height (inches)
Cost of Existing Door Model:
$$ Amount
Cost - Existing Door Model Accessories:
Threshold Heat, Door Close IndicatorSwitch, etc.
Manufacturer of Current Door
Model # of Other Door
- Dunnage for old door will be handled by the store after it is removed by RollSeal during installation of the trialdoor.
- Freight will be prepaid and added to the order for the trial door. If you require a freight quote prior to shipping,once can be provided. We can also setup to use your freight carrier forshipping if this is something you already have set up.
Submit Application
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