Trade Partner Application

Trade Partner Application

Center Park Group and its affiliates appreciates the opportunity to partner with your company. At your earliest convenience please complete this form and submit. Upon submitting, you will receive a confirmation email. Once your application has been reviewed and approved you will receive an additional email noting approval. Should additional information be needed we will reach out.

Please be prepared to upload completed copies of your COI, W9, and signed scope of work at the bottom of this application. Failure to do so will result in a rejected application.

Instructions of COI requirements can be found here

Thank You Again!

Vendor Name*

DBA

(if applicable)

Applicant Contact

Name*

Phone*

Phone

Email*

Market*

Select all that apply

Select

Federal Tax ID*

State License #*

Mailing Address*

City*

State*

Zip Code*

Hyphen Wallet

Hyphen Wallet is Center Park Group's means of electronically paying all trade partners. Once signed up trade partners can elect for their preferred payment method. All payment methods required a small fee to be paid by both the vendor and Center Park Group. By clicking Accept below you agree you have reviewed the Hyphen Wallet Vendor Packet (CLICK HERE)

I ACCEPT*

Once your application is submitted, an email containing details on how to register for Hyphen Wallet Will be emailed to you. By clicking Accept below you agree that you understand that you must register for Hyphen Wallet in order to receive payments. Failure to do so will result in your payments being sent as a check which incur a fee of $20 per check

I ACCEPT*

Sales Contact

Name*

Email*

Phone*

Phone

Purchase Order Contact

Name*

Email*

Phone*

Phone

Scheduling Contact

Name*

Email*

Phone*

Phone

Warranty Contact

Name*

Email*

Phone*

Phone

Accounting Contact

***THIS CONTACT INFORMATION WILL BE USED FOR SETTING UP YOUR HYPHEN WALLET ADMIN ACCOUNT. IDEALLY THIS EMAIL SHOULD BE A GENERIC ACCOUNTING CONTACT, EXECUTIVE, OR COMPANY OWNER. IF THIS EMAIL/CONTACT INFO EVER HAS TO CHANGE IT COULD CREATE AN INTERMITENT DELAY IN PAYMENTS***

Name*

Email*

Phone*

Phone

File Upload*

Please Upload a copy of:

1) COI (Certificate of Insurance) - Instructions of COI requirements can be found here

2) W9

3) Signed Scope of Work

Drag and drop files here or

Send me a copy of my responses

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