Partnerships - Clients - Vendors - Service Partners - Employees
Partner relationships are the cornerstone of USA-CLEAN. For potential clients, vendors, service partners and employees, USA-CLEAN goes to lengths to ensure proper fit and a win-win environment for all . We receive hundreds of requests for information monthly. To streamline the process and generate the proper follow-up we ask you to follow our simple 3 step guide below.
Basic Information Request Form
Please fill out the form below. This form must be filled out completely for accurate routing and follow up.
All fields are required.
Type
Potential Customers
USA-CLEAN's policy for new accounts requires all new customers to pay with Visa or Mastercard. Credit or House Accounts will not be established without meeting volume requirements.



Volume Accounts
Credit Accounts may be established by USA-CLEAN (at our discretion) for customers who exceed $1500 of purchases within a 90 day period.

Please download our credit app here.
Company Name
Your Name
Email Address
Address
City
State
Zipcode
Phone
Fax
Have you ever inquired or done business with us before?
If yes, when? (mm/dd/yyyy)  
Where did you hear about us?  
 
The Win-Win Key
How do we help you win?  
How do you help us win?  
Comments  
   
Follow up from USA-CLEAN
You WILL be followed up with by USA-CLEAN within 1 business day of us receiving your inquiry. If for some reason you do not receive a response, please call 1-800-USA-CLEAN, hit option zero (0) and ask for Bruce Bushert (President) or dial ext 4065 and ask for Tim Harms.

Please DO fill out the form before calling. We receive hundreds of requests and must have this form to properly qualify the inquiry.

Potential clients and employees : We will evaluate potential fit and move forward together from this point.

Vendors and service partners : Please move on to step 3.
Request for Additional Information
After determining to go forward, vendors and service partners will be asked to fill out an additional form requesting specific information about their products and services. This link will be sent via email and will be a step forward in setting you up as a partner in our system.