Step 1 of 8 12% Login InformationCreate your username and password below to begin your application process.Email Address (login)(Required) Username(Required) Usernames can only contain lowercase letters (a-z) and numbers.Password(Required) Enter Password Confirm Password Provide Your Company InformationCompany Primary Contact(Required) First Last Title Physical Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberCell NumberWebsite Billing Contact First Last Billing Email Billing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Years in Business (Minimum 3 Years Required)Services Offered (select all that apply) Installation Print Does your business have one of the following accreditations? Women Business Enterprise Minority Business Enterprise Service-Disabled/Veteran Owned Small Business None of the above WBE Certificate Expiration Date MM slash DD slash YYYY MBE Certificate Expiration Date MM slash DD slash YYYY S-DV Certificate Expiration Date MM slash DD slash YYYY CertificationIf you checked one of the following above, please upload your certificateAccepted file types: jpg, png, pdf, Max. file size: 2 GB.Federal ID or Social Security Number Number of W-2 Employed InstallersPlease list the name of the employee/installer you will send to test in St. Paul, Minnesota should your application be approved. Please also provide that employee’s date of hire. The installer must have been employed for a minimum of 6 months.Testing Installer Name (Must be a FULL-TIME INSTALLER and W-2 Employee) First Last Hire Date MM slash DD slash YYYY Are any of your installers 3M Preferred? Yes No List 3M Preferred Installers below, along with the location at which they tested.Where did your 3M Preferred Installer test? 3M St. Paul MN Wrap Envy, Syosset NY Wrapix Academy, Burbank CA School of Wrap, Nashville TN Lowen, Hutchinson KS Geek Wraps, Ft Lauderdale FL Month / Year Tested for 3M Preferred Insurance InformationInsurance Agent Name(Required) Insurance Agent Email Insurance Agent Phone(Required)Insurance Company Name Policy Expiration Date(Required) MM slash DD slash YYYY Insurance Policy Number Upload Certificate of InsuranceMax. file size: 2 GB.Upload your certificate of insurance here or you can mail it to: UASG 4701 Bell Tower Ct Greensboro, NC 27406 Please tell us about the experience level of the designated testing installer below:Trailers with Rivets - Applications Per YearNone1-56-1213-50More than 50On average, how many "Trailers with Rivets" installs does the designated testing installer complete annually?Vehicle Wraps (Full Coverage) - Applications Per YearNone1-56-1213-50More than 50On average, how many "Full Coverage Vehicle Wraps" does the designated testing installer complete annually?Rear of Transit Connect - Applications Per YearNone1-56-1213-50More than 50On average, how many "Sprinter Doors" does the designated testing installer complete annually?Rough Surface Textured Walls - Applications Per YearNone1-56-1213-50More than 50On average, how many "Rough Surface Textured Walls" does the designated testing installer complete annually?Flat Wall Panels - Applications Per YearNone1-56-1213-50More than 50On average, how many "Flat Wall" installs does the designated testing installer complete annually?Floor and/or Sidewalk Graphics - Applications Per YearNone1-56-1213-50More than 50On average, how many "Floor and/or Sidewalk Graphic" installs does the designated testing installer complete annually?3M DiNoc (Walls, Doors, Etc) - Applications Per YearNone1-56-1213-50More than 50On average, how many "DiNoc" installs does the designated testing installer complete annually?Is the designated testing installer confident with installing all of the graphics listed above? Yes No (Explain Below) If the installer is not confident in each category listed above, explain below: Provide A UASG & 3M ReferenceIf you do not know your 3M representative or another UASG member, please list a customer reference for that category. IMPORTANT NOTE regarding all references contained in your application: PLEASE LIST SIX DIFFERENT REFERENCES and DO NOT DUPLICATE ANY OF THEM IN THE REFERENCE SECTION.Is this a UASG member or a customer reference?UASG MemberCustomerCompany Name Contact Name First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberEmail Address Is this a 3M Rep or a customer reference?3M RepCustomerCompany Name Contact Name First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberEmail Address Provide Two Customer ReferencesEnd users are your customersCompany #1 Name Contact Name First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberEmail Address Company #2 Name Contact Name First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberEmail Address Provide Two Printer ReferencesPrinters who hire your company for installations. If you do not perform any work for printers, list another customer. Company #1 Name Contact Name First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberEmail Address Company #2 Name Contact Name First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberEmail Address Record-Keeping AcknowledgementBEFORE THE ON-SITE INTERVIEW WILL BE SCHEDULED, YOU MUST BE ABLE TO ENSURE THAT PROPER RECORD-KEEPING HAS BEEN IN PLACE FOR A MINIMUM OF SIX MONTHS. IF YOU HAVE IMPLEMENTED RECORD-KEEPING AFTER DETERMINING YOU MUST DO SO PURSUANT TO YOUR REVIEW OF THE UASG AND 3M GUIDELINES FOR UASG MEMBERSHIP AND 3M CERTIFIED STATUS WHICH ARE CONTAINED IN THEIR ENTIRETY ON THE UASG WEBSITE (www.uasg.org) UNDER “JOIN US,” APPLY FOR MEMBERSHIP,” “UASG CERTIFICATION PROCESS – ITEM 3,” THEN THE INTERVIEW WILL NOT BE SCHEDULED UNTIL SIX MONTHS FOLLOWING THIS IMPLEMENTATION.Document Checklist & Application SubmissionApplicants are required to mail or email the following documents: THE INSTALLER WHO WILL TEST MUST BE AN EMPLOYEE OF THE COMPANY (for a minimum of 6 months), NOT A SUB-CONTRACTOR. Please provide evidence of employment for all W-2 employed installers. A recent payroll stub satisfies this requirement for verification of employment. 3-4 Photos of recent work Proof of being in business for 3 years (i.e. Incorporation document or an invoice to a customer from 3 years ago) Certificate of Insurance for general liability in the amount of $1,000,000.00 Worker's compensation insurance (if applicable) Address: PLEASE NOTE OUR MAILING ADDRESS HAS CHANGED UASG P.O. Box 2047 Greensboro, NC 27402 Email: Jan Clippard Questions about application? Please email Jan Clippard Upload Attachments Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, txt, gif, Max. file size: 2 GB. Attach photos and documents required for submissionCAPTCHA