<h1>Certified Service Provider Canada</h1>
<h2>Contact Information</h2>


<label> Your Business Name (required)
    [text* your-business-name] </label>

<label> Your Name (required)
    [text* your-name] </label>

<label> Your Email (required)
    [email* your-email] </label>

<label> Your Phone Number (required)
    [tel telephone] </label>

<label> Address
    [text your-address] </label>

<label> City
    [text your-city] </label>

<label> Province
    [text your-province] </label>

<h2>Business Information</h2>

<label> Cities You Service:
[text your-preferred-city] 
    </label>

<h2>We are looking for Certified Service Providers that meet the following minimum requirements.</h2>
Insurance Liability Certificate
[radio your-businessreg label_first use_label_element default:1 "Yes" "No"]


Business Registration
[radio your-insurance label_first use_label_element default:1 "Yes" "No"]


WCB Clearance Certificate / WSIB Clearance Letter/ WorkSafe Clearance Letter / CSST Letter of Good Standing
[radio your-clearance label_first use_label_element default:1 "Yes" "No"]


Business Banking Account
[radio your-banking label_first use_label_element default:1 "Yes" "No"]

<label> Number of years in business?
[text your-yearsinbusiness] 
</label>

<h2>Getting to Know You</h2>
As part of CleanMark's selection process we are interested in finding out more about you and the work environment that you are best suited for. Please take a few minutes to complete the following questionnaire by clicking on the link below. The questionnaire will open in a new web page. Once you have completed the questionnaire and submitted, close the page to return to this form. Then, complete this form and send.

<h2><a href="https://assess.piworldwide.com/oi/clean" target="blank">CLICK HERE TO FILL IN THE QUESTIONNAIRE</a></h2>

Please note: You or your employees may be required to clear a criminal background check.


<h2> Human Verification</h2>
 [recaptcha size:compact] 

[submit "Send"]
Certified Service Provider - New Application - [your-name]
[your-name] <wordpress@cleanmark.com>
<h1>Certified Service Provider</h1>
<h2>Contact Information</h2>
<h3>We are looking for Certified Service Providers that can meet all of the following criteria.</h3>

<label><strong> Your Business Name</strong>
    [your-business-name] </label>

<label><strong> Your Name</strong>
    [your-name] </label>

<label><strong> Your Email</strong>
    [your-email] </label>

<label><strong> Your Phone Number </strong>
    [telephone] </label>

<label><strong> Address</strong>
    [your-address] </label>

<label><strong> City</strong>
    [your-city] </label>

<label><strong> Province</strong>
    [your-province] </label>

<h2>Business Information</h2>

<label><strong> City you're interested in working?</strong>
[your-preferred-city] 
    </label>

<label><strong> Insurance Certificate - you will have to add CleanMark to this certificate</strong>
[your-insurance] 
</label>

<label><strong> Business Registration</strong>
[your-businessreg] 
    </label>

<label><strong>WCB Clearance Letter</strong>
[your-clearance] 
    </label>


<label><strong> Business Banking Account</strong>
[your-banking] 
</label>

<label><strong> Number of years in business?</strong>
[your-yearsinbusiness] 
</label>

--
This e-mail was sent from a contact form on CleanMark (http://cleanmark.com)
greatjobs@cleanmark.com
Reply-To: [your-email]

1


CleanMark "[your-subject]"
CleanMark <wordpress@cleanmark.com>
Message Body:
[your-message]

--
This e-mail was sent from a contact form on CleanMark (http://cleanmark.com)
[your-email]
Reply-To: cleanmarkcanada@gmail.com



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