Pro-Klean Vendor Application

Register Your Business

Please provide all required details to register your business with us
Business Name*
Business Owner*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number*
Format: (000) 000-0000.
E-mail*
example@example.com
License #: *
Liability Insurance*
Workers Comp
Number of Employees
Area of coverage: (Please check all that apply)

New Haven CountyHartford CountyLitchfield CountyTolland CountyWindham CountyNew London CountyMiddlesex CountyFairfield County
Emergency Services
Please select all services that apply to your company
Framing / Remodeling: (Please check all that apply)

New ConstructionAdditionsMinor Interior AlterationsOther
Roofing: (Please check all that apply)

ResidentialCommercialFlatMetalAsphaltOther
Siding: (Please check all that apply)

VinylMetalWoodOther
Electrical : (Please check all that apply)

ResidentialCommercialOther
Plumbing / Heating: (Please check all that apply)

DomesticHeatHVACOther
Drywall and Taping: (Please check all that apply)

ResidentialCommercialOther
Flooring: (Please check all that apply)

PrefinishedHardwood, sand and finishTileLVPCarpetOther
Masonry : (Please check all that apply)

ConcreteAsphaltChimney Repair / ReplacementOther
Other Services Offered: (Please check all that apply)

Tree RemovalBoard upsWindow InstallationDoor InstallationGuttersDecksInsulationPaintingTrimsCabinetryCountertopsLandscapeOther
Kindly upload your documents, credentials, and photos of your completed projects for review.

Cancelof
Should be Empty:

Register Your Business

Please select all services that apply to your company