Vendor Application

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	Vendor Application
Business Category:
Company Name:
Contact Name
Title
Address:
City:
State :	0Zip
Phone:	Cell
FAX
E-mail:
Web Address
Description of Services

Check all that apply
	Do You Require Advanced Notice?
Shipping Methods Our Company Delivers	(please check all that apply)
	UPS FedEX Courier Other
What Is Your Cancellation Policy?

Are You Willing To Pay a small Commission for referrals?	Yes No
How did You Hear About Us?
Are You Familiar With Our Services?	Yes No
Are You Currently Working With Other Concierge Companies?	Yes No

	REFERENCES: Please give us the names of two clients (either current or within the past six months).
Name
Address	Phone:
Name
Address	Phone: