Prospective Service Vendor Questionnaire
801 Church Lane, Easton, PA 18040
COMPANY INFORMATION
Company Name
*
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Website
Number of Years in Business
*
Number of Technicians (Total)
*
Number of Technicians available for Follett equipment
*
Service Manager's Name
*
First Name
Last Name
Service Manager's Phone Number
*
Please enter a valid phone number.
Owner/Principal Contact
*
First Name
Last Name
Owner/Principal Phone Number
Please enter a valid phone number.
SERVICE CAPABILITY
Do you have experience servicing Follett Equipment?
*
Yes
No
If Yes, please describe:
Types of Services Offered (Check all that apply):
*
Commercial Refrigeration
Commercial A/C
Commercial Heating
Residential HVAC
Scientific Refrigeration
Ice Makers
Food Service Equipment
Other (please explain below)
Are you willing to purchase and carry truck stock for Follett Equipment?
*
Yes
No
If yes, how would you carry/store these parts? (select all that apply)
Centralized Warehouse Parts Area
Individual Trucks
Other (please explain)
Do you currently offer equipment install services?
*
Yes
No
If Yes, what do you install?
Ice Machines
Medical Refrigerators/Freezers
Dispensers
Other (please explain below)
Are you an equipment dealer?
*
Yes
No
If Yes, please list equipment:
TERRITORY AND COVERAGE
Territory Covered (list counties / states or radius from office):
*
Do you have branch locations?
*
Yes
No
If yes, please list each city & state:
Do you currently provide service for any customers who use Follett equipment?
*
Yes
No
If yes, please list the companies and/or types of customers you support:
Typical response time for service calls:
*
24 hours or Less
24 - 48 hours
Other (please explain below)
Do you have after hours on-call service availability?
*
Yes
No
If yes, please list hours covered:
COMMUNICATION AND SUPPORT
How are service calls received and dispatched?
*
Full-time dispatcher
Answering Service
Answering Machine
Email/Text Alert System
Are you comfortable using online portals for dispatches and claim updates?
*
Yes
No
Please list each preferred method(s) of communication with Follett:
*
Email
Phone
Portal
Other (please explain below)
SERVICE RATES
Normal Hourly rate:
*
Overtime rate:
*
Weekend and Holiday rate:
*
Travel Charge:
Outside
miles of your office, $
per mile
Submitted by:
*
First Name
Last Name
Title:
*
Signature:
*
Date
*
-
Month
-
Day
Year
Date
Please upload a current copy of your company's W-9
*
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