Master Craftsman Application

Company Name*
Your Name*
First Last
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
Phone Number*
Fax Number
Cell Phone
Emergency Phone Number
Were you referred to us?*
If so, please let us know who referred you below:

BUSINESS DETAILS
Federal ID Number
Contractor License #
Type if 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. Also, 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.
General Liability
Enter only numbers, no letters or symbols.
Auto
Enter only numbers, no letters or symbols.
Workers Comp
Enter only numbers, no letters or symbols.
Bailee's
Enter only numbers, no letters or symbols.
Commercial Insurance Agents Information

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
BILLING
Please provide your average hourly rate for the following services.
What Is Your Company's Average Total Yearly Gross Income (check one)
Choose the appropriate range
On-Site Repairs
Shop Repairs
Pickup & Delivery (two men & a truck)
Refinishing
SERVICES
Please Check All the Services That Your Company Provides (not a third party)*
- On-Site Repairs
- Pickup & Delivery
- Fabric Sales
- Complete Refinishing
- Reupholstery (labor)
- Leather Repair
- Kitchen Cabinet Repair
PHOTOGRAPHS
We need to see some photos of your shop interior, shop exterior, office, and vehicles.
Shop's Exterior
Shop's Interior
Your Office
Your Vehicles

BUSINESS DETAILS