Vendor AppUse the form below to apply to join Contain's vendor network. If you have any questions as you're completing the form, do drop us a line, we'd be happy to help! "*" indicates required fields Unique IDThis field is hidden when viewing the formInitial StatusVendor InformationLegal Company Name*DBA (if any)Date Established (Current Ownership)* MM slash DD slash YYYY WebsiteFederal Tax ID #*Street Address (No PO Boxes)* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Company StructureCorporationLLCProprietorshipPartnershipOtherContact Name* First Last TitleDirect Phone #*Email Address* Annual Sales ($)*Average Size Sale ($)*# of Employees*Equipment InformationTypes of Equipment Sold* Ancillary Equipment Consumables Container Farms Control Systems Greenhouse Structures Grow Systems & Racking HVAC Lab Equipment Lighting Miscellaneous Nursery & Propagation Packing & Warehouse Robotics & Automation Store, Restaurant, & Home Systems Water Management Whole Farm Age of Equipment Sold* New Refurbished / Reconditioned Used Authorized Distributor ForDo you provide a warranty on your equipment?* Yes No Warranty TermsMeans of Distribution (check all that apply)* Direct Sales Internet Dealers Independent Distributors Markets Served Local Regional Nationwide International How many reps?List Regions Customer Base Split (% Consumer, % Commercial, % Municipal / Other) % ConsumerPlease enter a number from 0 to 100.% CommercialPlease enter a number from 0 to 100.% MunicipalPlease enter a number from 0 to 100.% OtherAnnual Lease Volume ($)*Average Size Lease Transaction ($)*Current Leasing Company (s)Credit Release & Information Verification By signing this application, the applicant(s) certifies that all information contained herein, and all attachments hereto, are true, complete and accurate to the best of the applicant(s) knowledge. The applicant(s) hereby authorizes Contain, Inc. and its assigns and/or affiliates to obtain consumer credit reports now and in the future as deemed necessary by Contain, Inc. and its assigns and/or affiliates for purposes including but not limited to the evaluation of business credit, review of the applicant(s) account, and any other legitimate purpose associated with the applicant(s) account. The applicant(s) further authorizes any government agency, bank or financial institution to release credit information on the applicant(s) to Contain, Inc. and its assigns and/or affiliates. Each individual signing below waives any right or claim that such individual would otherwise have under the Fair Credit Reporting Act in absence of this continuing consent. Applicant agrees that submission of an electronic, photocopy or facsimile copy of a signed authorization shall be deemed to be binding, valid, genuine and authentic as an original‐signature document for all purposes. The applicant(s) further authorizes Contain, Inc. to mail, fax or e‐mail solicitations for future financing services or promotions to the applicant(s). Privacy Policy & Terms & Conditions By signing this agreement, I agree to the privacy policy & terms and conditions.Signature*Date* MM slash DD slash YYYY Would You Like to Join Our Mailing List?* Yes No Δ
