Application for Affiliate Service Membership

Affiliate Service Members – Any firm, partnership, or corporation actively engaged in the business of servicing, both on site and in the shop, commercial foodservice equipment (i.e., repairing, maintaining, and providing replacement parts and accessories for foodservice equipment commonly found in restaurants, Institutions, Health Care, Hospitals, Government and Corporate Food Service Operations and does not meet the requirements of voting membership shall be eligible for membership as an Affiliate Service Member of this association.

First Name

Last Name

Title:

Company Name:

Mailing Address

City

State

Province or Territory

Zip Code

SHIPPING INFORMATION

Enter shipping information below if different from your listed mailing address.

Shipping Address:

City:

State:

Province or Territory

Zip Code

CONTACT INFORMATION

Toll Free:

Local Number:

Fax Number:

Website:

Facebook

BUSINESS INFORMATION

Description of Business and Products Sold:

Business License Number:

Number of Techs:

Qualified to repair the following types of commercial food service equipment (select all that apply)

Does your company provide Equipment Installation?

If yes, please provide the level of installation:

Level I - Installation or replacement of the same or similar, existing pieces of foodservice equipment in an existing foodservice establishment. Level II - Installation of new equipment for entire kitchens during remodel or construction phase, to include receiving, warehousing, consolidation of equipment and delivery for each phase of installation, assembly, set in place, leveled, caulked and trimmed as needed, with final connections made, started up and tested. Level III - Includes all of Level II and may or may not include all or some other options (such has Hoods, HVAC, Fire Suppression, Complete Electrical or Plumbing Contracting, Carpentry, Communications, Computers, Flooring, Roofing, Stainless Steel Welding, or Complete General Contracting as well as pulling all necessary Permits) Companies that are listed as Level III should be contacted to find out what options they offer.

Dues and Fees:
A non-refundable application fee of $250.00 must be paid to submit this application for final review and approval. If your application is approved you will receive an invoice for an the annual membership dues. Once this is paid you will be considered an official CFESA member and will receive your membership credentials.. Membership dues are $2400.00 annually and will be pro-rated according to the date of this application. Applications submitted and approved January 1 through June 30 pay a full years dues. Applications submitted July 1 through December 31 pay a half years dues. It is mandatory that all branch locations be listed in the service locator as Branch Members and paid for at $330.00 per location. Please attach a list of these other locations and submit with this application.

We, the undersigned, do hereby make application for membership in the Commercial Food Equipment Service Association, Inc. and agree to abide by the Articles of Incorporation and Bylaws of the Association. Enclosed is my check for the application fee.

Signature:

Date: