BuildTechPro – Work Authorization

BuildTechPro – Work Authorization

Please review each section carefully before signing.
BuildTechPro LLC; DBA BuildTechPro Restoration & Roofing; Limited Liability Company; 2671 Avenir Place, Apt 1149, Vienna, VA 22180; info@buildtech-pro.com — (571) 731-9992.
Please review each section carefully before signing.
Full Name & Title
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Property Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Billing Address (if different from property)
Service Contract
Service Contract: The full 14-section BuildTechPro LLC Work Authorization & Service Contract (Sections 0–13 plus Attachment A – Partial Price List) is provided as a separate PDF document titled 'BuildTechPro Work Authorization.' Please open and read the complete contract document before signing. By checking the box below and signing, you confirm you have read, understood, received a copy of, and agree to be legally bound by that Service Contract in full.
I have read and understand the information above and have received a copy for my records, and I agree to be legally bound by this agreement.
Equipment Security Hold
prevnext( X )
Equipment Security Hold
Temporary authorization hold for equipment security (refundable, not a charge).

$500.00

Total

$0.00
Client Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: