| Date of Request: |
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FRANCHISE DETAILS |
| Franchise Partner Name: |
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| Franchise Name: |
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| Franchise Street Address: |
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| Franchise City: |
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| Franchise Province: |
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| Franchise Postal Code: |
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| Franchise Country |
Australia
Canada
United States |
FRANCHISE CONTACT PERSON |
| First and Last Name: |
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| Title: |
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| Telephone Number: |
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| Email Address: |
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EVALUATION DETAILS |
| How many Cancellation shop types to be completed? |
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| Frequency of Cancellation shop types? |
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| If other: |
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| How many Removal shop types to be completed? |
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| Frequency of Removal shop types? |
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| If other: |
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| How many Cash Removal shop types to be completed? |
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| Frequency of Cash Removal shop types? |
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| If other: |
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| Additional and/or Specific shop requests:
Please include any specific focus the shopper should note or be aware of, if different from current shop program. |
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Don't see what you need?
Contact us for customized pricing and shop orders:
jbare@bareinternational.com
(Customized questionnaires and scenarios require minimum order plus set-up fee.) |
REPORT DELIVERY |
| Email address(es) for report delivery: |
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INVOICE DELIVERY |
| Report and invoice will be delivered via email to the address(es) supplied herein.
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| Email address(es) for invoice delivery: |
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| Billing name to be listed on the invoice: |
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Billing Address:
Street, City, State, Zip |
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| What method do you prefer to use to pay the invoice? |
Credit Card (2% fee applies)
ACH (no fee)
Wire Transfer (no fee) |
TERMS & CONDITIONS |
On behalf of the Franchise, I agree to:
• Pay the balance due in full, within 30 days of invoice date or otherwise pay a two percent (2%) late fee, compounded monthly, on any unpaid monthly balance. (Services subject to suspension for non-payment.) Invoices are sent monthly for any shops completed the previous month.
• Pay by one of the following options:
- Credit Card (please note that a 2% processing fee applies to invoices paid by credit card)
- ACH Payments (invoices paid with this method will not incur a processing fee)
- Wire transfer (invoices paid with this method will not incur a processing fee)
• Suspension of evaluations will occur should payment for services rendered to fall into unpaid status.
• A credit card number must be provided to secure your mystery shop order. You are not required to pay your invoice by credit card; this is only to reserve the shops. However, if the invoice is not paid on the due date, then the credit card on file will be used to settle payment.
Please click on the following link to download the credit card authorization form. Once completed, email to censley@bareinternational.com: CC AUTH FORM |
YesNo |
Fees per evaluation:
• CA Cancellation - $179 USD
• CA Removal - $194 USD + Reimbursement
• CA Cash Removal - $264 USD + Reimbursement
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YesNo |
| • I understand it is the responsibility of the Franchise to notify BARE if the store to be evaluated is closed and not operating for any reason. If an evaluator cannot perform a scheduled evaluation and the Franchise did not provide 3 business days advance notice of said closure, the franchise will be invoiced 50% of the fee, and the evaluation will be rescheduled. |
YesNo |
| • I understand that information provided in any report should be validated and confirmed before any staff action is taken. |
YesNo |
| • I have read and accept BARE's terms and conditions. |
YesNo |
APPROVAL & CONFIRMATION |
| Your name / e-signature is approval of this request from 1-800-GOT-JUNK? BARE will schedule the shop and invoice accordingly. |
To submit your order, select the "Complete Survey and Submit" button below.
By clicking this button, you will be fully executing this Purchase Order/ Agreement.
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If you have any questions or need assistance, please contact us:
Christy Ensley, Project Manager
censley@bareinternational.com
Jason Bare, Global VP
jbare@bareinternational.com |
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