BRANTLEY SOLUTIONS SUBCONTRACTOR PROGRAM APPLICATION
Available To Metro Atlanta GA Area
Pre-Qualification Acknowledgement
You understand that you MUST have your own transportation and working cell phone at all times as a Brantley Solutions LLC Subcontractor
*
Yes
You understand that this is a Contractor position and NOT an employee position
*
Yes
You understand that you will be paid on a contract basis under this program?
*
Yes
You acknowledge that you understand that contractors do not get employee benefits (i.e. holidays off, medical insurance, overtime pay, etc.) and you are okay with that.
*
Acknowledge
Is your background clean? If not, please explain in the box provided
*
Yes
Other
MOVE FORWARD TO THE APPLICATION
Subcontrator Application
Your Name
*
First Name
Last Name
Company Name
(If already established)
E-mail
*
The best email that you have that comes to your phone
Phone Number
*
-
Area Code
Phone Number
Upload A Photo ID
Browse Files
or turn it in once you get to training
Cancel
of
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Choose the counties you would most prefer to provide service in
*
Rows
1st Choice
2nd Choice
3rd Choice
4th Choice
5th Choice
6th Choice
Counties
Gwinnett
Fulton
Dekalb
Cobb
Hall
Forsyth
Gwinnett
Fulton
Dekalb
Cobb
Hall
Forsyth
Gwinnett
Fulton
Dekalb
Cobb
Hall
Forsyth
Gwinnett
Fulton
Dekalb
Cobb
Hall
Forsyth
Gwinnett
Fulton
Dekalb
Cobb
Hall
Forsyth
Gwinnett
Fulton
Dekalb
Cobb
Hall
Forsyth
SUBCONTRACTOR CERTIFICATION
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Subcontractor Certification Fee
$
2,500.00
Add Starter Kit Supplies
$
500.00
Select this if you do not have CBN approved commercial supplies and equipment already
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Signature
*
Submit
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