Cabling Contractors Network


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Staging & Deployment

Through this state of the art facility, Celergy has the capability to handle:

	Staging
	Deployment
	Asset Management

Project Status

This is available 24/7 through our web based interface.

Order Tracking

With drill down capability, progress can be easily checked..

Universal Structured Cabling

The Universal Structured Cabling Design is Celergy's own innovative..

For more details call at

Toll Free:
(877) 235-3749

Call us today at our Carlsbad / San Diego County, California headquarters to see how we can help your company solve your networking and cabling installation needs!

One Stop / One Call to unleash your network power

Contractor Application Form

Thank you for your interest in the Celergy Partner Program. We are always interested in expanding our network to include partners who are at the top of their field.

The following application includes all the basic information we require in order to begin the process. Please allow approximately 15 to 20 minutes to complete form.

Company / Branch Information:

Firm Name:			Contact:
Address:			Phone:
Suite/Floor:			Fax:
City:			Cell:
State:			Email:
Zip:			Website:
Main Phone:

Corporate / Billing Information:

Job Name :			Contact:
Address:			Phone:
Suite/Floor:			Fax:
City:			Cell:
State:			Email:
Zip:			Website:
Main Phone:
Payment Terms:			Billing Cycle:
A/P Contact:			A/R Contact:

Contact Information:

Contact #1
Name:	Title:	Email:
Phone:	Fax:	Cell:

Contact #2
Name:	Title:	Email:
Phone:	Fax:	Cell:

Contact #3
Name:	Title:	Email:
Phone:	Fax:	Cell:

General Information:

Do you have a contrators license?	Yes / No
If so what is your license number?
What type of license do you have? C-7, C-10?
Do you carry liability insurance?	Yes / No
Carrier / Policy Number
How much insurance coverage do you carry?
When does it expire?
Is your company union or non-union?
If union, which union CWA or IBEW?
What is your hourly rate for cabling?
What is you hourly rate for service/repair?
How many installers and service technicians do you have?
Installers
Service Techs
What is your standard warranty?
Do you have other branches?	Yes / No
If so where?
Do you provide 24-hour on call service coverage?	Yes / No
How does it work?
Do you have a website?
Can you transfer information electronically?

PC Service / IT Skills:

Do you have any of the following certifications?	A+ , MCSE , Other
What is your hourly rate for PC tech work (not including software)?
Simple	$ /hr.
Complex	$ /hr.
Can you install, troubleshoot and or repair any of the following?
Router
Hubs
Switches
Desktop PC
Other
Do you have experience with POS(point of sale)?	Yes / No

Explain:

Electrical Capabilities:

Are you a licensed C-10 Electrician?	Yes / No
Can you provide conduit and electrical work?	Yes / No
Explain:

Do you do any trenching or coring?

General Notes:

Thank you for completing this application to become a certified Celergy Partner. We appreciate your interest in Celergy Networks. Someone will follow-up with you within 3 business days regarding the status of your application. Please feel free to call us at (760) 268-1913 if you have any questions.