Contractor Form                                                      Call Us: 800-451-8684
 

Name 

Title 

Company 

Address 

City, State, Zip 

Phone 

Email 

 

 

 
Are You an Owner Operator? Yes  
Do you manage a fleet of power washing units? Yes  How Many? 
Our affiliates operate commercial grade pressure washing systems, either cold or hot water capable; which produce a minimum 2,500 psi, and at least 4.5 gallons a minute. However, we realize that there are many different configurations of pressure washers on the market, and their uses are varied.
Tell us about your equipment, and the type of work you perform with it

 

As an affiliate of United Mobile Power Wash, Inc. what areas of business would you like us to develop?
 
Fleet Washing Kitchen Hood Cleaning Paint Prep
Industrial Cleaning Commercial Cleaning Graffiti Removal

Other:


 

Is your Internet Connection at least 56K?   Yes No
Does your computer have an available USB Port?  Yes  No
Does your computer have an available Ethernet connection?  Yes No
Do you take advantage of any functions of the Electronic Funds Transfer (EFT) system, such as Direct Deposit, IRS e-File, electronic bill payment etc...?
  Yes  No

 
What software do you use for your company's accounting process?

Quicken      QuickBooks       Peachtree      Excel      Timberline
Other: