Become an Authorized Contractor

We invite you to join our network of Authorized Contractors and launch a successful business with our training, marketing, sales and technical support services. DEMILEC (USA) is dedicated to partnership with you and promotion of energy efficient and environmentally friendly spray foam insulation. Join our winning team!

* First and Last Name
* Company
* Address
* City
State/Province	[ Select State or Province ] None Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick Newfoundland New Hampshire New Jersey New Mexico New York North Carolina Northwest Territories North Dakota Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory
* Zip
Country (if You are not from USA)
* Telephone
Fax
* Email
* Confirm Email
	* = Required Field

Do you own an existing business?	Yes No

If yes, please answer questions below. If no, please proceed to the next step.

How many years have you been in business?
What is the existing company’s EIN Number?
What is your Estimated Net Worth?

Have you been involved in spraying foam before?	Yes, I was/am a contractor.  Yes, I was/am an applicator.        Number of Years   No

If yes, please answer questions below. If no, please proceed to the next step.

Which foam products have you used?	Roofing foam  Closed-cell foam  Open-cell foam
How many years have you been in the foam business?

How do you intend to finance the major purchases (equipment, vehicle, etc.) of your business?	Personal Savings  Leasing  Bank Loan  Other
Do you have other sources of income?	Yes No
How much operating capital will be invested in your first year?
Have you ever worked for or managed a contracting company before?	Yes No
How many people do intend to hire within the first two years?
Which of the following office equipment do you own, or intend to purchase?	Computer  Laptop Computer  Projector  Fax Machine  Phone (Multiple Lines)  Phone (Single Line)  Cell Phone  Internet Connection
From which of the following will you conduct your business?	Home  Office Building  Industrial Building  Other
Size of (Building)
(Warehouse)

I herby acknowledge and adhere to the following requirements in becoming a DEMILEC (USA) Authorized Contractor:

• To operate the necessary processing and safety equipment and purchase if necessary.

• To have on staff at least one employee who has successfully completed the tree-day Approved Applicator Training.

• To attend the one-day Authorized Contractor Orientation.

• If accepted, I would adhere to all Safety Guidelines set forth by DEMILEC (USA) LLC, the manufacturer of SEALECTION500, SEALECTION Agribalance, Heatlok and Heatlok Soy spray foam insulation.

I accept these terms and conditions	I don't accept these terms and conditions
How did you learn about becoming a SEALECTION® 500 Authorized Contractor?	Referral  Web site  Mailer  Sales Rep.  Phone Inquiry  Trade Show  Other