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New Provider Application

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Qualifier Questions
Confidentiality Agreement

Throughout the screening process, you may acquire protected and proprietary company information. This includes, but is not limited to Laundry Care’s business model, current and/or prospective client information, current and/or future markets, target markets, pricing, partnerships, strategic business plans, as well as specific company methods and/or manner of operation.

With this in mind, we ask you to read, agree and comply with the following terms.
I understand that I may be exposed to protected information throughout the screening process. I fully understand any disclosure and/or exploitation of such information would result in damage to Laundry Care and its subsidiaries.
I have read and agree to act in good faith in adherence to the above non-disclosure agreement and agreement to not compete.
I specifically agree to hold any and all confidential or proprietary information learned during the screening process in complete confidence.
I specifically agree to refrain from exploiting any and all confidential or proprietary information learned during the screening process to establish, manage and/or operate any other business which directly competes with Laundry Care.

I certify that the information on this application is accurate and complete. I understand and agree that an incomplete form or misrepresentation is grounds for elimination from consideration for contract, or termination of contract if discovered at a later date. I authorize Laundry Care to investigate, without liability, all statements contained in this application. I understand that this document is not an offer of contract. If contracted, I will be required to furnish a signed W9 form and will not be provided with benefits including health insurance, retirement plan and paid time off.