Become a QUADCA Member Apply Now for your FREE P.A.S.S. Verification!!Simply fill out the short questionnaire below… Name First Name Last Name Business Name * Phone * (###) ### #### Email * Business Address Address 1 Address 2 City State/Province Zip/Postal Code Country How many years of experience do you have with duct cleaning? Less than a year 1-2 3-5 6-10 11-15 16-20 21-30 30+ How many years has your company been in business? Less than a year 1-2 3-5 6-10 11-15 16-20 21-30 30+ How many employees does your company currently have? 1-10 11-20 21-30 30+ What type of agitation do you use? Forward skip tool Air gun Brushes Reverse skip tool Whips Robotic Other All of the above Are you a member of any other organizations? If yes, please specify which organization Are you licensed & Insured? Yes No Do you use a compressor capable of minimum 175psi? Yes No What type of negative air equipment do you use? please name brand of equipment Are you in the market for new equipment? YES NO Do you need help with specialized Social Media Marketing for duct cleaners? YES NO WOULD YOU LIKE TO UPGRADE TO OUR PREMIUM MEMBERSHIP FOR $250 * YES NO Terms & Conditions * Last updated: Nov 21, 2023 -Please read these Terms & Conditions before requesting to become a Quadca Member and before using the full benefits of quadca.com. You recognize that Quadca is a nationally registered Trademark and this form (once membership has been formally granted by Quadca on the day of formal notice) acts as a license giving you the use of the trademark only as long as you maintain your membership in the Quadca system.If at any point you fail to make payment to maintain your membership or you have been asked by Quadca to remove and stop the use of the Quadca Trademark from any type of marketing, vehicles articles of clothing , tools etc for any reason you must remove any and all Quadca Markings at your own expense within 7 days of formal notice. The form of notice will be a simple email. By agreeing to these terms you are stating that you understand the standards set forth by Quadca and will knowingly by your own choice, provide proof of those standards. Proof includes; digital or physical proof of your experience as a Duct Cleaning Business/professional. This includes digital images or videos of proper cleaning techniques as well as digital or physical proof that you possess the knowledge and aptitude to carry the Quadca logo and brand upon your business and values. You also agree to knowingly submit photos and videos that Quadca.com may use to educate, promote and verify proper duct cleaning standards and practices. By checking the box above you agree to the above information and give quadca.com permission to use your information for the purposes of; promoting, educating & marketing the quadca.com brand and website. By agreeing you also allow Quadca to use your business information within our own search database that will give customers the ability to access and view your business information that would allow them to learn about our qualified Quadca business members. If at a certain point you no longer qualify or pay for Quadca membership, you will be required to remove all Quadca logos and/or affiliation to your own duct cleaning business. By agreeing you also subscribe to the Insights to Duct Cleaning newsletter. I have read and agree to the terms and conditions. Pledge to Adhere to Quadca Standards : * When you check the box on this Form , I fully acknowledge that certification by the Qualified Air Duct Cleaners Affiliation (Quadca) carries with it specific responsibilities and obligations which hold me to the higher standards of excellence, professional and Responsible behavior than applicable laws, rules, or regulations. In this regard, I pledge:To render my services in an honest and fair manner and to refrain from engaging in unfair or deceptive practices or making any unfair or deceptive statements.To comply with all applicable building codes when operating in a customer's premise. To promote and educate consumers about safety and to educate the customers about the proper methods of furnace, air duct and Dryer vent cleaning. To Ensure that all techs performing the work have continually updated and maintained their knowledge, skills, and techniques as a professional air duct cleaning technician . To Guarantee that all techs that are dealing with clients conduct themselves in a decent respectful and Professional Manner when acting as a representative of the Qualified Air duct cleaners affiliation.I agree to accept and abide by the Quadca Code of Ethics as a standard in rendering services as a certified air duct cleaning technician that has been certified by Quadca. Yes, I will adhere to Quadca Standards. Thank you for submitting your application for QUADCA’s annual membership. A representative will review your information and get back to you soon.