Work with Landscape Effects
SECTION 1/3: Basic Company Information
Legal Company Name
*
Operating As Title
Company Street Name and Number
*
Ex. 123 Main Street
City
*
Ex. Toronto
Province
*
Please Select
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Postal Code
*
Ex. N0R 1A0
Select the service(s) your company can provide
*
Landscaping
Snow Removal
Both
Your company's HST/GST #
SECTION 2/3: Contact Information
Primary Contact Person
*
First Name
Last Name
Primary Phone Number
*
Please enter a valid phone number.
Alternate Contact Person
First Name
Last Name
Alternate Phone Number
Please enter a valid phone number.
Language Preference
*
English
French
Primary Communication Email
*
example@example.com
Would you like contracts sent to the Email provided above?
*
Yes
No
Contracts Email (if answered No)
*
example@example.com
SECTION 3/3: Compliance Certifications
Liability Insurance
NOTE: We require "Landscape Effects Group" to be named as Additionally Insured, as well as "Snow Removal Services" described on all insurance certificates.
Does your company carry a valid liability insurance?
*
Yes
No
Worker's Compensation
Is your company certified under your provincial Worker's Compensation program?
*
Yes
No
I am an Independent Operator
Please provide the account number listed on your company's Worker's Compensation certificate
Submit
Should be Empty: