PRIMUS Sterilizer

Interested in Becoming an Authorized Service Agent?

AUTHORIZED SERVICE AGENCY (ASA) QUESTIONNAIRE

* Indicates a required field.

Contact Name (*)

Please type your full name.
E-mail (*)

Invalid email address.
Phone/Extension (*)

Invalid Input
Fax

Invalid Input
Company Name (*)

Invalid Input
Owner

Invalid Input
Address (*)

Invalid Input
City (*)

Invalid Input
State (*)

Invalid Input
Zip/Postal Code (*)

Invalid Input
What Geographic Territory Do You Serve? (Define By Zip Codes)

Invalid Input
Number and Type of Service Technicians Serving Your Customers?

Invalid Input
Office Staff (Contact Names, Titles, and Emails)

Invalid Input
How Many Steam Sterilizer Service Accounts Are You Presently Serving?

Invalid Input
How Many Total Accounts Do You Provide Service?

Invalid Input
Are These Steam Sterilizers Primarily Full Size or Table Top Models?

Invalid Input
What Market Segments Are These Accounts?

Invalid Input
Do You Currently Remanufacture Sterilizers?

Invalid Input
Which Brands of Steam Sterilizers Have You Serviced?

Invalid Input
Provide Three Steam Sterilizer Contract References with Contact Names and Phone Numbers

Invalid Input
Describe Your Prior History in Working on Major Construction Projects with General Contractors.

Invalid Input
Describe Your Rigging Capabilities, if Any.

Invalid Input
Describe Your Experience Working with Union Trades, if Any.

Invalid Input
Your Standard Service Labor Rate

Invalid Input
Your Standard Service Travel Rate

Invalid Input
What Is Your Average Service Travel Time from Your Office to the Customer Location?

Invalid Input
Do You Utilize Service Zone Charges Based on the Geographic Location of Customers?

Invalid Input
What Is Your Standard Service Response Time?

Invalid Input
Do You Stock Any Inventory of Spare Parts?

Invalid Input
Will You Purchase All PRIMUS Spare Parts from PRIMUS?

Invalid Input
Provide a Copy of Your Steam Sterilizer Service Contracts

Invalid Input
Will You Agree to Send All Your Technicians Who Will Work on PRIMUS Sterilizers to The PRIMUS Steam Sterilizer School Within Three Months of A Signed Agreement?



Invalid Input
Attach one document with all the Resumes of All Service Technicians Who Will Be Servicing Steam Sterilizers. Resumes Should Include The Number of Years Servicing Steam Sterilizers, Where They Have Previously Received Sterilizer Service Training, Education, and Other Relevant Background Information.

Invalid Input
Please enter the security code:
Please enter the security code:

Invalid Input