Advance Termite Preferred User Program Registration

Please fill in the following fields and click submit to register in our Advance Termite Preferred User Program.

Registration entitles you to:

  • Complimentary homeowner literature
  • Advance termite update newsletter
  • New literature support tool updates
  • Promotional opportunities
  • Label/MSDS updates
Company Information  
Company Name:
Company Phone Number - -
Company Fax Number - -
   
Company Mailing Address: Company Shipping Address:
    Shipping Same as Mailing
Address Address
Address Line 2 Address Line 2
City City
State State
Zip Zip
 
Primary Termite Control Contact Contact who will order literature
    Same as Primary Contact
First Name First Name
Last Name Last Name
Title Title
Email Email
  Tom.Smith@abccompany.com   Tom.Smith@abccompany.com
   
Primary bait used
     Installs this year
     Projected installs next year
Secondary bait used
     Installs this year
     Projected installs next year
Primary liquid used
     Liquid jobs this year
     Projected liquid jobs next year
Number of years doing termite baiting
% termite jobs preventative %
% termite job post-construction %
Top reason for choosing Advance
Primary product for perimeter (outdoor) pest control
Primary ant bait
Primary distributor
   
 
Toolbar
PMP Testimonials Label & MSDS Efficacy Data Business Case