Preferred Contractor Application
Homeworx Building Solutions, LLC
Customer Details:
Company Name
*
Company Website
*
Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
FEIN or SSN
*
Are you tax exempt?
*
Yes
No
If yes, attach form 149
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Specialty
*
Capabilities
*
Would you like to have work referred to you from Homeworx?
Yes
No
If yes, where can we see your work? Please list website or social media sites below:
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Please provide at minimum, 2 past clients as references
*
Rows
Full Name
Address
Contact Number
1
2
3
Notes/Message:
Thank you for your interest in becoming an exclusive contractor. We look forward to growing together.By signing this agreement you are agreeing to the terms of becoming an exclusive contractor that includes butnot limited to exclusive pricing set out by Homeworx Building Solutions, some terms subject to change withnotice.If you are also applying to become a Referral Network Partner, once vetted we will reach out to complete thatprocess.
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