Partner Application | EEB Cleaning Services

STEP 1 OF 6

Business & Applicant Information

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Business Information

Legal Business Name *

DBA / Trading Name

Business Type *

Industry *

Years in Business *

Number of Employees *

Primary Contact Information

Applicant Name *

Job Title *

Business Email *

Mobile Phone *

Office Phone

STEP 2 OF 6

Partnership & Business Type

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Partnership Category (Select all that apply) *

Partnership Level of Interest *

Standard Referral Partner Preferred Referral Partner Strategic Business Partner Corporate Partnership

Partnership Goals

STEP 3 OF 6

Referral & Business Information

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Estimated Referrals per Month

Residential Referrals

Commercial Referrals

Total Estimated Referrals

Estimated Annual Referral Volume

Average Client Value

Current Customer Base (Select all that apply)

STEP 4 OF 6

Marketing & Referral Capabilities

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How Do You Promote Your Business? (Select all that apply)

Website Visitors Per Month

Social Media Followers

Email Subscribers

Monthly Customer Interactions

STEP 5 OF 6

Documents & File Uploads

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Upload Documents (Optional but Recommended)

Business License PDF, PNG, JPG (Max 10MB)

Insurance Certificate PDF, PNG, JPG (Max 10MB)

W-9 Form PDF only (Max 10MB)

Company Logo PNG, SVG, JPG (Max 5MB)

Marketing Materials PDF, JPG (Max 10MB)

Other Supporting Documents PDF, JPG (Max 10MB)

STEP 6 OF 6

Agreement & Submission

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Please Review & Agree

I verify that the information provided is accurate and complete. I understand that acceptance into the EEB Referral & Affiliate Partner Network is subject to review and approval. I understand that referral rewards, commissions, and incentives are governed by the partnership program terms. I understand that rewards are processed after qualifying services are rendered and paid. I agree not to misrepresent EEB Cleaning Services or generate fraudulent referrals. I authorize EEB Cleaning Services NY Inc. to contact me regarding the application and future partnership opportunities.

Electronic Signature *

Date *

Business & Applicant Information

Partnership & Business Type

Referral & Business Information

Marketing & Referral Capabilities

Documents & File Uploads

Agreement & Submission

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