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D-B Custom Home Builders The Dearborn-Buckingham Group, Inc.
   
 

TRADE CONTRACTOR/SUPPLIER APPLICATION



Company Information:

Company Name:
(Name used for IRS filing)
Street Address:
City:
State/Province:
Zip/Postal Code:
Business Phone:
Cell Phone:
Fax:
E-mail:
Type of Business:
Type of Ownership: Individual Partnership Corporation
Name of Owner(s) or Officers:
Years in Business
Contact Person:
Service Dept. Contact Name:
Service Dept. Phone :
Service Dept. Email :
Federal ID Number:
Number of units completed last year:

How many people does your company employ?
How many crews does your company run?
Is your work crew Union       Non-Union

Maximum number of units your company wishes to complete for Dearborn-Buckingham Group this year?
Does your company have permanent access to email? Yes No

Work:

TRADE CONTRACTORS PLEASE NOTE THE FOLLOWING: A current Certificate of Insurance showing your Worker's Compensation coverage must be on file in our central office before any work commences and payment made.

TRADE CONTRACTORS AND SUPPLIERS PLEASE NOTE: We must have a signed contract before any work commences.

The Dearborn-Buckingham Group will use email and the internet extensively for use in our scheduling and distribution of contractor information. All trade contractors will be required to check schedules and other pertinent information via the internet.

References (Supplier or Trade Partner):
Reference 1
Company Name:
Contact Name:
Phone:
Address:
Reference 2
Company Name:
Contact Name:
Phone:
Address:
Reference 3
Company Name:
Contact Name:
Phone:
Address: