Edge Enrollment

Company Information:

(*Required Field)

Company Name*:

Company Billing Address*:

City*:

State*:

Zip*:

Physical Address*:

City*:

State*:

ZipCode*:

Company Phone Number*:

Company Fax Number:

Company Email Address*:

Type of Business*:

Individual/ Sole Proprietor/ llcC CorporationS CorporationPartnership

Services You Provide*:

PlumbingHeatingElectricalHVACBuilderFacility MaintenanceGeneral ContractorInterior Designer

Cardholder Information:

Cardholder Name*:

Company Title*:

Work Phone*:

Cell Phone*:

Cardholder Address*:

City*:

State*:

Zipcode*:

D.O.B.*:

SSN#*:

Terms and Conditions (Please Initial Below)*

The undersigned guarantees that they are authorized to apply for Ace Contractors Edge Rewards on
behalf of company listed.:

The undersigned understands that the personal information above will be used by Ace Plumbing,
Heating & Electrical Supplies, Inc. for tax purposes including but not limited to W-9 and 1099 forms.:

The undersigned understands that they will receive email, mail and phone communications regarding
Ace Contractors Edge Rewards.:

Privacy Policy:*

*Ace Plumbing, Heating & Electrical Supplies, Inc. will take measures reasonably necessary to ensure the confidentiality of its applicants Social Security numbers and those collected from others in the ordinary course of the company’s business. Neither the company nor any of its employees will unlawfully disclose Social Security numbers obtained during the ordinary course of business. The company will limit access to information or documents containing Social Security numbers to only those employees of the company whose job description requires the use of Social Security numbers. In addition, the company will strictly limit the display of Social Security numbers on computer monitors or printed documents, unless required by law or business necessity. The company will not use Social Security numbers, more than four consecutive numbers from a Social Security number, or a derivation of them as personal identifiers, permit numbers, license numbers, or primary account numbers or for similar uses unless required by law. The company may use a Social Security number to perform an administrative duty related to employment for example, to verify the identity of an individual to detect or prevent identity theft to investigate a claims, credit, criminal, or driving history; to enforce legal rights or to administer benefits programs.

By checking the acceptance button below I am applying for Ace Contractors Edge Rewards and agree to the terms and conditions above.

I accept

If you have any questions or concerns regarding this application, email edge@teamace.com or contact Michele Low at (856) 692-9374 Ex. 1177