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2. Please read and review Approved Contractors Terms & Conditions.
   Approved Contractors Terms & Conditions
4. Do you agree to the Approved Contractors Terms & Conditions?*
   -- Select One --YesNo
6. Company/Contractor Name*
8. Contractor/Company Address*
10. City*
12. State*
14. Zip Code*
16. Mailing Address (if different from above)
18. City
20. State
22. Zip Code
24. Phone No.*
26. Email
28. Contractor/Vendor Type*

    1. Electrical
    2. Plumbing
    3. HVAC
    4. Painting
    5. Cleaning
    6. Landscape
    7. Tree Removal
    8. Asphalt Paving
    9. Roofing
    10. Concrete
    11. Flooring
    12. Fencing
    13. Alarms
    14. Locksmith
    15. Windows
    16. Doors
    17. Specialty
30. If Specialty please specify:
32. Town Business License No.
34. Arizona Contractor License No.*
36. How many years in business?*
38. Bonding Co. Name*
40. Bonding Co. Address*
42. City*
44. State*
46. Zip Code*
48. Phone No.
50. Bond as required by A.R.S. §32-1122(B)*
52. Insurance Co. Name*
54. Insurance Co. Address*
56. City*
58. State*
60. Zip Code*
62. Phone No.
64. Insurance as required by A.R.S. §32-1122(B)*
66. Reference #1 Name
68. Phone No.
70. Email
72. Reference #2 Name
74. Phone No.
76. Email
78. Reference #3 Name
80. Phone No.
82. Email
84. Please list 1-3 prior projects completed within the previous 36 months.
86. Customer Name
88. Phone No.
90. Email
92. Project Description
94. Customer Name
96. Phone No.
98. Email
100. Project Description
102. Customer Name
104. Phone No.
106. Email
108. Project Description
Leave This Blank:


109. Submit

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