HeatShield Dealer Application & Questionnaire

Peer References (Other Chimney Professionals)

1. I certify that all information I have provided on this application is true, complete and correct.
2. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the rights to purchase goods and services from SaverSystems, whenever it is discovered.
3. I understand that if my company goes 18 months or more without purchasing HeatShield Cerfractory Flue Sealant, our status as an authorized HeatShield dealer will become inactive and we will be unable to purchase HeatShield Cerfractory Flue Sealant from SaverSystems or an authorized distributor. To reactivate, I will need to complete a HeatShield training test available at www.heatshieldpro.com/test with a passing score of 80% or higher.
4. I expressly authorize, without reservation, SaverSystems, LLC (dba SaverSystems), its representatives, employees or agents to contact and obtain information from all references, public agencies, licensing, certification authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the application/approval of the “Approved HeatShield Installer” process and all other persons, corporations or organizations for furnishing such information about me.
5. I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.