Fortify Surface ScienceBecome a Fortify Partner Professional partner networkFortify Partner ApplicationTell us about your company and the market you serve. Leave blank Company Information Company name * Years in business * Primary contact * Contact title * Phone * Email * Business address * Suite / unit City * State / province * ZIP / postal code * Country code * Website Are you a franchise? *SelectYesNo Company OperationsAnnual gross revenue *Select $0 - 150k $150k - 250k $250k - 500k $500K - 1mm $1mm + Total active painting crews * Exterior painting projects / year * Avg exterior project value (USD) * Primary work (check all): * Residential Commercial Multifamily Current paint / coating brands Partnership Interest Requested territory / service area (if applicable) Why is your company interested in becoming a Fortify partner? * General liability insured? *SelectYesNoWorkers' comp coverage? *SelectYesNoN/A Representative Acknowledgment Authorized Representative (Print Name) * Date * I confirm that I am authorized to submit this application and that the information provided is accurate. This is an application acknowledgment, not a partner agreement or electronic signature. I acknowledge the Privacy Policy and permit Fortify to contact me about this application. Submit ApplicationPreparing secure form…