Contractors : ProGold Reliable Contractor Network : Contractor Express

Contractor Express…Where The Contractor Comes First

Pro-Gold Reliable Contractor Network

Contractor Express Pro-Gold Reliable Contractor Network makes your company available to homeowners searching for the contractor that best suits their needs and location. Apply for membership by submitting the following form. Contractor Express will then start the review process to verify you and your work as "Pro-Gold Reliable." After approval, you will be added to our "Pro-Gold Reliable" contractor database, and your name will be available to homeowners who use our "Pro-Gold Reliable Contractor Network." It's that simple.

We ask that…

Your current business has been in operation for at least 3 years.
You have the appropriate licenses in localities where required.
You have general liability insurance.
You have good customer references.
You fill out all fields marked with an asterisk (*).
Your application will not be sent if the required fields are not filled in!

Enter your contact information…

*Company Name

*Contact Name

*Address

Address (cont'd)

*City

*State

*Zip Code

*Business Phone

Cell Phone

Fax

*Email

Web Site Address

Contractor Express Acct #

*Owner Years of Experience

Annual Sales Volume

License Numbers:

	Nassau
	Suffolk
	Queens
	Other (please specify)

Business Type:

	Commercial
	Residential

Counties Served:

	Nassau
	Suffolk
	East End
	Queens

Describe your company…

Describe your company as if you were speaking to a homeowner
(25 words or less)

Professional Associations

Professional Certifications

Current job address

How many jobs do you complete in a year?

What is the timeframe for starting new projects?

Tell us what kind of projects you want…

	New Home/Design
	New Home/Build
	Remodeling/Design
	Remodeling/Build
	Kitchen & Bath Remodeling
	Decks & Patios
	Roofing & Siding
	Handyman (small projects under $5,000)
	Window & Door Replacement
Average Project Size
Can you supply building plans or recommend an architect? Yes No

Agreements…

By submitting this application, I affirm the information is correct and true, I agree to the disclaimer stated below.

1. To contact the homeowner within 2 business days or 48 hours of receiving the contact information and to set up an appointment to meet with homeowner within 2 weeks of receiving the contact information.

2. To authorize Contractor Express to send project leads and other related information via e-mail or fax.

3. To indemnify and hold harmless Contractor Express from any claims made by 3rd parties arising out of work or services provided to such parties.

By selecting the Submit Application button, I affirm that the information in this application is true, and that I will abide by the Agreements stated above.

Uncheck this box if you do not want to be included in additional e-mail programs and savings.

389 Atlantic Avenue Oceanside, NY 11572 • Tel: (516) 764 - 0388 • Fax: (516) 536-4743