Application to join the Art Culinaire service network for servicing Lacanche ranges.
We officially partner with Airsled Inc. to help you purchase one, ask us how.
If you run out of space in this field, please use the Service Area Document field to upload your coverage area.
If you have a Word or Excel document with your ZIP codes or an image of the area you cover, upload it here.
Are you able to designate 1 or 2 technicians as the Lacanche representative that will be trained and used exclusively for any Lacanche service request?
Could the dedicated Lacanche technician travel out of their normal service radius to cover a service request? Are you ok with this arrangement?
How would you like Art Culinaire to place its work orders?
Email address(es) for placing work orders
Phone number for placing work orders
How should Art Culinaire submit work orders online?
In order to stay in touch and to communicate product update information to your company, we will send an email up to, but not more than 4 times a year. You can opt out of this at any time. Do you agree to receive this email communication?
What is the flat rate trip/service fee that will be charged for arrival by the service person at the job site?
How many minutes of diagnostics and/or labor are included in the Trip Fee?
If the labor fee is an hourly rate, choose "Hours Worked". If the labor fee will be based on the parts being installed or labor required without parts using the Blue Book Rate System, choose "Blue Book". Choose your primary method.
The rate in dollars per mile for traveling beyond your mileage limit.
The distance beyond which you will charge a Mileage Fee.
Is the Mileage Fee a one way or round trip charge?
What sales tax for State/County/City will be paid for goods and services rendered?
If you have multiple shipping locations, please list them here.
Tier 1: Basic moving services from driveway to kitchen, placing the range in position but no utility hook-up provided, etc. Tier 2: All tier 1 services, plus utility hook-up & leveling. Tier 3: All Tier 2 services, plus client education.
Examples would be an Airsled, Stair Climber, dollies and ramps, etc.
Feel free to upload any documentation that you feel is relevant in determining partnership viability. Examples include any territory documentation, business licenses, business W-9, or resale certifications.
This file format is not supported by your browser for preview.
That CAPTCHA was incorrect.
Email Link to
Please enter a valid email address to configure Zoho Sign settings.