Master Craftsmen Application

Company Name*
DBA
Your Name*
First Last
Point of Contact
If different from the owner
First Last
Point of Contact Phone
Point of Contact Email
Company Owner(s) Name(s)*
Please indicate the names of all owners and /or parent companies to this business
Email
Address*
Street Address Address Line 2 City State ZIP Code
Company Website
Business Facebook
Business LinkedIn
Phone Number*
Cell Phone
Diverse Supplier
Were you referred to us?*
If so, please let us know who referred you below:

BUSINESS DETAILS
Federal ID Number
Contractor License #
Type of Business*
Years in Business*
INSURANCE INFORMATION
Please provide your current coverage amount for each type of insurance listed. If you do not have coverage, please type 0.
Commercial General Liability
Auto Liability
Umbrella Liability
Workers Compensation
Commercial Insurance Agent's Information
Please provide your commercial insurance agent's (all if more than one) name, phone number, and email address so we can contact them to obtain your certificate of insurance.

BUSINESS DETAILS CONTINUED
Total Full-Time Employees*

Please provide the number of full-time employees for the following categories. Enter only numbers, no letters or symbols.
SERVICE AREA Radius (in miles)*

Please indicate the standard service area you cover in miles. Minimum requested is 25 miles
SERVICES
Please Check All the Services That Your Company Provides (not a third party)*
- Select All
- Furniture Repairs (Repairs & Fabrication)
- Furniture Refinishing (complete, spot finishing and touchup)
- Cabinet Repair (Fabrication boxes, trim & door repair, etc.)
- Cabinet Refinishing
- Cabinet Removal & Install
- Pickup & Delivery
PHOTOGRAPHS
Please provide photos of your shop's exterior, shop interior, office, and vehicles.
Shop's Exterior
Max. file size: 25 MB.
Shop's Interior
Max. file size: 25 MB.
Your Office
Max. file size: 25 MB.
Your Vehicles
Max. file size: 25 MB.

BUSINESS DETAILS