Vendor Application

Help us learn more about your company by completing the brief survey below. If we have an immediate need in your area, we will contact you right away. If not, we will keep your information on file should our current needs change. Thank you for your interest in Gryphon Group.

Company Name:*

Company Address:*

Street Address City State / Province / Region ZIP / Postal Code

Company Telephone Number:*

Company Owner’s Name(s):*

Cell Phone Number:*

Email Address:*

How long has company been in business?*

How many employees does company have In office?*

How many employees does company have In field?*

How many sub-contractors does company use In office?*

How many sub-contractors does company use In field?*

Does your company provide preservation services to other companies? Please click all that apply:*

Please list at least 2 references:

Name:

Company:

Phone Number:

Name:

Company:

Phone Number:

Does the company carry general liability insurance of $1,000,000 or more?*

Yes
No

Does the company follow your state’s laws regarding worker’s compensation insurance?*

Yes
No

Do you have an Aspen Grove ABC#?*

Yes
No

Does your company perform inspections?*

Yes
No

Please list the counties you cover by state:*

Click (+) on the right to add as many counties as you need.