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Application Form

General Contractor & Skilled Handyman

Please fill out the form below accurately and completely.

Thank you for your interest in joining our trusted network of contractors and skilled professionals.

Apply Now

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CONTACT INFORMATION

Full Name:

Business Name (if applicable):

Email:

Phone:

Business Address:

City:

State:

ZIP:

Website (if any):

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(Select all that apply)

General Contracting

Electrical

Plumbing

HVAC

Carpentry

Drywall

Painting

Flooring

Roofing

Tiling

Appliance Installation

Landscaping

Other:

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Years of Experience:

Are you licensed in your state?

Yes

No

License Number:

Are you insured?

Yes

No

Insurance Provider:

Policy #:

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AVAILABILITY & SERVICE AREA

Are you available for emergency/after-hours work?

Yes

No

Typical Service Area (Cities/Counties):

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REFERENCES & WORK SAMPLES

Provide 2 Recent Client References:

Name:

Phone:

Project:

Name:

Phone:

Project:

Attach Work Samples or Portfolio (Optional):

[Upload Field for Images/Documents]

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AGREEMENT & SIGNATURE

By submitting this application, I confirm that all information provided is accurate to the best of my knowledge. I understand that submitting this form does not guarantee employment or partnership.

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Signature:

Date:

Thank you for contacting us.
We will get back to you as soon as possible.

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Copyright © Machen Home Improvements | All Rights Reserved

WV Contractor #WV051122

2408 Cross Creek Rd

Colliers, WV 26035

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