Partner Page

Partner Qualification 
Form

Rental Homes

Lead Program

Affiliate Program

Relocation Partner Qualification Form

Please complete the following information:

Primary Information

Company Name 
Company Address  
City  
US State ZIP
Country
Company Website  
Name of Local Contact
Title 
Phone # 
E-mail address

History

Founded
Former Name(s)
Affiliation  (Van Line, etc)
Parent Company
Business Type
Are you a minority/disabled veteran owned business?
Are you a woman owned business?
Number of Employees
Are your employees unionized?
Insurance Coverage
Gross Sales  
Current Year Previous Year

References

Company                    Contact Name       Phone # &/or e-mail


Services and Operational Capabilities
Market Area that you serve (List Cities, Counties, States or Countries if applicable)
 
What cities do you have offices?

   
   
    Temporary Housing/Apartments/Hotels(Furnished and/or Unfurnished)
    Area Tours
    Real Estate Agent
        Relocation Department (of a Real Estate Agency)
        Rental Assistance (Assisting employees in finding housing)

    Complete Transportation of Household Goods
           Loading Services
           Unloading Services
           Other Services (ie. Packing, 3rd party, etc)        
    Air Freight
    General Freight Transportation
    Other:

Pricing for your services (daily, monthly, other)

How did you hear about us?

Authorized Name   Date