New Vendor Form | Rolland Solutions

Welcome to Rolland Solutions

Vendor Onboarding Form

Legal Company Name*

DBA - Business Name (If Applicable)

Company Street Address*

City*

State*

Zipcode*

Company Phone*

Primary Contact Name*

Primary Contact Position Title*

Primary Contact Phone*

Primary Contact Email*

List the territories your company services.*

Maximum Travel Area*

25 Miles

50 Miles

100 Miles

Other

Is your company available for after-hours and weekend service calls?*

Yes

No

SKILL SET: Door Hardware (Check all that apply)

Installation

Service/Repair

Troubleshooting

Emergency/Lockout

SKILL SET: Access Control (Check all that apply)

Installation

Service/Repair

Troubleshooting

Emergency/Lockout

SKILL SET: Video Surveillance Systems (Check all that apply)

Installation

Service/Repair

Troubleshooting

Emergency

List any manufacturer brands you work with:*

SERVICE/TRIP RATE: Standard Service Call $

SERVICE/TRIP RATE: Emergency/After Hours Call: $

Standard Hourly Labor: $

Emergency/After Hours Labor $

SERVICE RATE: Outside of Service Area $

By entering your name below and checking the box, you confirm the information is accurate.

Information is accurate:

I Agree

Disagree

Thank you for your interest in partnering with Rolland Solutions. Please complete the information below and email the supporting documents: Certificate of Insurance (COI), W-9, Applicable Licenses or Certifications Email: Vanessa Hall at VHall@RollandSolutions.com