Let’s get to work Center Name The legal name of your center as it appears on your business license. Name * First Name Last Name Role Email * Phone * (###) ### #### Primary Contact * Yes No Visit Confirmation & Reminders Should someone other than the primary contact receive visit scheduling reminders and confirmations? Billing Contact * Who should receive invoices? Please separate emails by commas. Additional Center Contacts Please provide the name, role and email address for any additional team members we will work with. If you aren't sure, we will walk through these roles and what fits for your center at your first visit. If someone should only receive specific communications, please note that below. Center Files & Sample Access * Please list emails for those who should have access to your center files. We will share our library of sample documents with the primary contact only unless requested. Please separate emails by commas. Benchmarking Participation * External benchmarking is required annually by AAAHC. Please share the names email addresses we should share collection tools and results with or confirm you will not be benchmarking with us. Accreditation Expiration Date * If this is a first time accreditation, please select the target timeframe for your survey. MM DD YYYY Center Address * Your center's physical address where our consultants will be coming for in-person visits. Address 1 Address 2 City State/Province Zip/Postal Code Country Mailing Address * Where should we direct any mailed correspondence? Address 1 Address 2 City State/Province Zip/Postal Code Country Satellite locations * Please include addresses for any satellite locations included in your contract. How did you hear about us? Referral Online Search Networking Event Social Media Thank you! Our team will make sure all your accounts are set up just so. Expect to see a few emails come through in the next week with invitations to access your files and sample documents. Invoices are sent on the 1st of each month from Quickbooks. Our preferred payment methods are ACH directly from your bank accompanied by a remittance email or processed directly through Quickbooks. If you need to change or update any contacts or information, please email Meg Lee at mlee@greyandco.com
