InstructionsNew York • November 26th, 2018
Jurisdiction FiledNovember 26th, 2018Company Full Legal Name (“Dealer”): Street Address (no PO boxes): City: State/Province: Zip/Postal Code: Phone: ( ) Fax: ( ) Union Card Certification (check one): Yes No Email: Website URL: Company Federal Tax ID Number (9 digits): HVACpartners ID #: HVACpartners ID #s for Additional Branch Location(s) if applicable#: