Information Request

Contractor Information Request Form
Full Legal Name*

First NameMiddle NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you have proof of liability insurance?
Is your business registered with the state of Michigan?
if yes, what is your EIN?
Where and when did you receive professional cleaner training?
Tell us what you're looking for in partnering with Scrub Club.
What would your ideal relationship with us look like?
Do you have questions we can be prepared to answer when we talk?
Thank you so much for taking the time to provide us with this information. After submitting this form you will be automatically redirected to Calendly to schedule your phone meeting to discuss details. Please note that failure to schedule your meeting with us will result in your request for information not being reviewed. You will also receive an e-mail with a link to the scheduler. Thank you!
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Contractor Information Request Form