Dealership Information. Company Full Legal Name (“Dealer”): Street Address (no PO boxes): City: State: Zip: Phone: ( ) Fax: ( ) Union Card Certification (check one): Yes No Email: Website URL: Company Federal Tax ID Number (9 digits): HVACpartners ID #: HVACpartners ID #s for Additional Branch Location(s) if applicable#: Including ALL Dealer branch locations, please enter the total number of: Please enter HVAC Equipment* purchases (full prior calendar year): Employees: Xxxxxx branded purchases†: $ Purchases for all brands combined $ Service Technicians: (including Xxxxxx) †: Service Trucks: Entire Business Sales Volume $ #Only applicable if your dealership has multiple branch locations that share the same service technicians. †Dealer certifies that the HVAC Equipment purchase information provided is accurate and complete and understands and acknowledges that at least 75% of Dealer’s HVAC Equipment purchases at the date this Agreement is submitted and during the term of the Agreement must be Xxxxxx branded pursuant to Section 1.3 below. *HVAC Equipment is defined as residential and commercial heating and cooling equipment, systems, and accessories presently marketed and distributed through Xxxxxx’x Residential and Commercial Systems (RCS), including, but not limited to, furnaces, air conditioners, heat pumps, fan coils, evaporator coils, small packaged products, rooftop units, boilers, geothermal heat pumps, ductless splits, air purifiers, UV lights, humidifiers, filters, carbon monoxide detectors, heat/energy recovery ventilators, thermostats, and zoning systems.
Dealership Information. Dealer Name Dealer DBA Years in Business Dealer ID Number Phone Number Fax Number Address City State Zip Name of Dealer Principal Phone of Dealer Principal Name of Dealer Contact Dealer Legal Entity Website address Dealer hereby requests and authorizes California Republic Bank Auto Finance Division. ("CRB") to initiate credit entries and to initiate, if necessary, debit entries and adjustments for any credit entries in error or for any contract repurchases to/from the checking account and depository institution (herein called "Bank") indicated below, to credit and/or debit the same to such account. Dealer understands and agrees that the foregoing credits/debits may occur at any time during a given month. This authorization may be cancelled by sending written notice to CRB Auto Finance Division at the fax number provided above and to the attention of: DEALER SERVICE CENTER. Banking/ ACH Information Bank Name Name of Bank Contact Telephone Number Fax Number Address City State Zip
Dealership Information. Company Full Legal Name (“Dealer”): Street Address (no PO boxes): City: State: Zip: Union Card Certification (check one): Yes No Phone: ( ) Fax: ( ) Email: Website URL: Company Federal Tax ID Number (9 digits): Including ALL Dealer branch locations, please enter the total number of: Please enter HVAC/Back-up Generation/Solar Equipment* purchases (full prior calendar year) Employees: Perfectly Green® branded: $ Service Technicians: All brands combined (including Perfectly Green®) : $ Installers: Service Trucks: Entire Business Sales Volume $ *HVAC/Back-up Generation/Solar Equipment is defined as residential heating and cooling, back-up power generation equipment, solar systems, and accessories presently marketed and distributed through PGC’s Residential Systems, including, but not limited to, furnaces, air conditioners, solar equipment, heat pumps, fan coils, fan motors, evaporator coils, small packaged products, boilers, geothermal heat pumps, air purifiers, UV lights, humidifiers, refrigerant, filters, carbon monoxide detectors, heat/energy recovery ventilators, thermostats, and zoning systems.
Dealership Information
