MSA Program / Sub-Contractor Online Form

If you are interested in being called upon to provide service, please fill out the online Master Service Agent  form and submit your information, or print it out  and either fax or mail it to our Warranty or Service Departments.  To be considered for the Master Service Agent Program you must agree to abide by the Cornelius and ICE O-Matic Warranty Policies and Procedures,

By submitting this information your company will be placed in a data base as a Service Agent (Sub-Contractor) and representative of GIS for service, installations and related issues for equipment own by a customer of GIS.  Many of the service issues are warranty related; however, as is often the case, your service contact with the end-user can lead to other services you provide that the customer can negotiate, such as preventative maintenance, etc...   Your company will also be listed as a prospect for invitations to service schools sponsored by a manufacturer.  We will also send service leads when the opportunity presents itself.

Authorized Officer:  
Company Name:  
Address (Street, City, ST, Zip):  
Contact Number:  
Phone Number:  
Fax Number or Email Address:  
Contact Names & Departments:
Warranty Administrator:  
Service Manager:  
Owner or Company Manager:  
E-Mail Account and/or Web site:  
Areas of Coverage (Important) (towns, cities or counties) (used for database search):
Maximum distance your available to travel for service
(radius in miles, etc.):  
Hours of Operation:  
Brands You Service: Ice-O-Matic Cornelius
By submitting this form, you have read and agree to follow Ice-O-Matic and Cornelius Warranty procedures and guidelines.