| Identification
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Name |
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Phone
Number |
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| A.
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Business
Structure |
| 1 |
How
long has your company been in business? |
since:
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| 2 |
How
long has your company been incorporated? |
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| 3 |
Please
list stockholders of the company and percent owned: |
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| 4 |
Do
you pay quarterly taxes? |
Yes
No. |
| 5 |
Do
you belong to any Associations? List: |
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| 6 |
Do
you have a City and County Occupational License? |
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Yes
No. |
| 7 |
What
is the name of your Insurance Company and How Long have you been with
your current company? |
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| 8 |
Has
your company had any claims in the last 5 years? |
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Yes
No. |
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If
so, have the claims been settled? |
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Yes
No. |
| 9 |
Can
you show all Tax Forms from the last 3 Years? |
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Yes
No. |
| 10 |
Do
you have a Business Plan in Place? |
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Yes
No. |
| 11 |
In
what categories are you certified? |
Pest Control
Sub Termite
Lawn & Ornamental
Dry Wood Termites (Fumigation)
Wild Life
Other: List:
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| 12 |
What
States? |
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| B.
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Services |
| 1 |
Explain
the Majority of Services |
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| 2 |
Does
your Company provide Monthly Pest Services?
Yes
No. |
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Describe
the Treatments:
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| 3 |
Does
your Company provide Every Other Month Pest Services?
Yes
No.
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Describe
the Treatments:
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| 4
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Does your Company provide Quarterly Pest Services?
Yes
No.
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Describe
the Treatments:
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| 5
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Does your Company provide Semi Annual Pest Services?
Yes
No.
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Describe
the Treatments:
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| 6
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Does your Company provide Annual Pest Services?
Yes
No.
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Describe
the Treatments:
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| 7
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Does your Company provide Other Types of Services, other than the Ones
Described Above?
Yes
No.
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Describe
the Treatments:
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| 8
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Is Flea Control an Additional Cost?
Yes
No.
|
| 9
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Are Carpenter Ants an Additional Cost?
Yes
No.
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| 10 |
What
is your Retreat Policy? |
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| 11 |
Do
you do single or one time treatments?
Single
One Time |
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What
is the Warranty?
Yes
No |
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Describe:
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| 12 |
Do
you charge extra for any services provided for your regular accounts?
Yes
No. |
| 13 |
Does
your company leave bills or are they mailed?
Mailed
Left |
| 14 |
How
does your company collect Bills? |
Cash
Credit Card
If so, which ones? |
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VISA,
Mastercard,
American Express,
Discover,
Other Credit cards
If so, which ones? |
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| 15 |
How
many one time accounts do you have? |
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What
is their total Value? |
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Can
you substantiate their consistency? |
Yes
No. |
| 16 |
How
many accounts have an annual volume over 5% of your total sales?
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What
is the total volume per year?
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| C |
Advertising
Information |
| 1. |
What
Phone Books are you listed in? |
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| 2. |
What
is the Monthly Cost of Each? |
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| 3.
|
What
are your Phone Numbers? |
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| 4. |
Do
you have any other advertising contracted for over a year?
Yes
No. |
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List:
|
| 5 |
Total
Spent Monthly on Advertising:
$
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|
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| D. |
Chemicals |
| 1. |
What
are the basic types of Chemicals you use? |
|
Insecticides:
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| 2. |
Who
is your Major Supplier? |
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|
Phone
Number: |
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| 3. |
Do
you use any Restricted Chemicals?
Yes
No. |
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If
yes, list the name of the ones used:
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| E. |
Customers |
| 1. |
How
many customers does your company have? |
|
| 1a |
How
many services per month does your company provide? |
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| 2. |
How
many accounts are Monthly? |
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| 3. |
Every
Other Month? |
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| 4. |
Quarterly? |
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| 5. |
Semi-Annually? |
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| 6. |
Annually? |
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| 7.
|
What
percentage of your accounts is set upon a specific day and time?
% |
| 8. |
Do
your customers sign any type of contract or agreement?
Yes
No. |
|
If
yes, Please attach a copy:
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| 9 |
Does
your company have key accounts?
Yes
No. |
| 10. |
Can
you give an average of the longevity of your customers?
Yes
No. |
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Number
of customers over 8 years? |
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Number
of customers over 5 years? |
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Number
of customers over 3 years? |
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Number
of customers less than 1 year? |
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| 11.
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When
was the last time your company gave a price Increase?
How much?
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| 12. |
When
did you have a price increase before the one above?
How much?
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| 13. |
Does
your company have any Chemically Sensitive Accounts?
Yes
No.
Please list or give number of accounts:
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| F. |
Production |
| 1. |
Do
you have Quotas for Technicians?
Yes
No. |
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What
are they?
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| 2. |
Do
you have Saturday or After Hour Accounts?
Yes
No. How Many?
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| 3. |
What
is your daily Start time and Finish Time?
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| 4 |
Do
you have larger accounts that need more than one technician to accomplish
the services?
Yes
No. If yes, how many?
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| 5. |
What
Geographic area does your Company cover? List by County and State:
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| 6.
|
Are
Routes broken down according to Location?
Yes
No. |
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| G. |
Employees.
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Click
on the link below and fill out an Employee Profile. Do one for every
Employee and submit it. |
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