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Thank you for your interest in becoming a QuickContractor.com Contractor!

In order to be a part of our system we require that you:

• Valid Business License
• $2,000,000 + Liability Insurance
• WSIB Insurance
• Valid GST/CRA Number
• Valid Safety Certificates
• Been in business for at least 3 years without outstanding complaints logged with the government.
• Pass a strict standardized reference check.

If you think you represent the workmanship and moral standards required to be a QuickContractors.com member, then please fill out the application form below and someone will be in touch with you within 24hrs.

* CompanyName:
* FirstName:
* LastName:
* Title:
* E-Mail address:
Fax number:
* Phone number:
Ph. number 2(Home/Cell):
* Street address:
* City:
* Province:
* Postal code:
* My services:
* Areas I service:

Note: User ID must be at least 6 characters long. You will receive notification by e-mail when your account is created.

* Choose a User Name for your account:
* How many years has your company been in business?
* Business Registration #:
* GST #:

Please have your insurance provider fax a copy of your insurance to the fax number indicated above. Please attach a photocopy of all licenses for our records.

* Insurance Provider:
* Policy Number:
* Coverage Amount$:
* Are your Employees Bonded?	YesNo
* License Type:
* Issuing Agency:

In order to protect the reputation of QuickContractors.com Inc. and our affiliate contractors, we perform a full, thorough, standardized reference check. Please provide at least 5 customer references. These references must include at least 2 from 2005 and the rest from 2004 or earlier.

Name of Reference #1:
Reference Phone Number:
Relationship to reference:
Date of Job:
* Name of Reference #2:
* Reference Phone Number:
* Relationship to reference:
* Date of Job:
* Name of Reference #3:
* Reference Phone Number:
* Relationship to reference:
* Date of Job:
	Submit