Contractor and Service Registration with Service Accountable
Name of Business
Your Full Name
Phone number (including area code)
Is this a cell phone that can receive texts?
We contact through text and email. Would you prefer a phone call or voice mail instead?
(skip this question if a text and email is fine)
Yes, I'd rather receive a phone call
Type of business/service
Select all that apply
Doors and Windows
Heating & A/C
Lawn and Yard Work
Remodeling - General
Remodeling - Kitchen and Tub
Are you licensed?
Yes - I am licensed
No - I am not licensed
License number and issuing authority (if applicable)
number, city, date issued
where you operate your business (ie. MO, CA, TX)
List all cities that you service (ie. Arlington, Dover, Glendale)
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