Contractor Application

Thank you for choosing to work with HomeNet Solutions. Please fill out this form and we will get in touch with you shortly.

Name*
Company Name*
Address*
Day Phone*
Evening Phone*
Best Time to Call*
Email*
Services Offered*
How did you hear about us?*
1. Are you licensed and insured?*
- Yes
- No
License Number*
Will you send us copies of your license?*
- Yes
- No
2. How long has your company been in business?*
3. How many employees do you have?*
4. In what geographic areas do you prefer to work?*
5. How do you currently market your business?*
6. What organizations are you a member of?*
7. Do you guarantee your work?*
- Yes
- No
If yes, for how long?
8. How do you consider your pricing?*
- High End
- Middle Of The Road
- Low End
Additional Comments