Preferred Partners Network Application

Company and Contact Information
Company Name
Website
EX: www.EnergyRight.com
Primary Contact (Point of contact for the Program)

First NameLast Name
Title
Email
example@example.com
Office Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Address

Mailing Address - Can't be a PO Box

Street Address Line 2

CityState

Zip Code

Licenses

A copy of your business license is REQUIRED for membership approval. Please ATTACH A COPY of your business license for the primary location of your business to your application submission.

Rows	License Type (Business or Contractor)	City	State	License Number	Expiration Date
1
2

Please upload your business license here.

Cancelof
Customer References

Please list 3 of your commercial or industrial customers served in the past 2 years.

Rows	Company Name	Contact Name	Contact Email	Project Description	Phone
1
2
3

Additional Contact Information
Membership Forms

Complete if you would like additional contacts from your company included in PPN communications. Any additional contacts must satisfy the Program training requirements for the desired Company PPN Membership Level. Please see training requirements below.

Rows	Contact Name	Title	Email	Cell	Street Address	State	City	Zip
1
2

Please upload your W9 and certificate insurance form here.

Cancelof
Marketing Upload
For marketing and branding medias for the program, please upload the following if possible: Company Logo - Full Color, Company Logo- Black & White, Approved Contact Headshots & Group Company Photo. If not available right now email them to us at PPN@tva.gov

Cancelof

Participation Requirements and Responsibilities
1. Participation Requirements and Responsibilities

By my signature below, I agree in good faith to meet the Participation Requirements and Responsibilities and any other Program requirements, and hereby accept all of the requirements and guidelines set forth in the TVA EnergyRight® Preferred Partners Network Application and the Preferred Partners Network Terms and Conditions.
Authorized Representative (please print)
Title
Signature
Date

MonthDayYear
Date
Should be Empty:

Company and Contact Information

Company Information

Business Type

Company Services

Districts Served

Licenses

Customer References

Additional Contact Information

Membership Forms

Marketing Upload

Participation Requirements and Responsibilities