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Contact Info
This form is strictly for contractors looking to perform services for GTJ. Please fill out each section completely and someone will respond as soon as possible. Thank you for your interest in becoming a GTJ Vendor.
Bold
fields are required.
Company Name:
Contact Person:
Company Mailing Address:
City:
State/Zip:
/
Phone Number:
Fax Number:
Cell:
Email Address:
Confirm Email Address:
Years in Business:
Number of Employees:
Do you utilize sub-contractors?
What is your current coverage area?
(select all that apply)
Allegan
Barry
Berrien
Branch
Calhoun
Cass
Clinton
Eaton
Genesee
Hillsdale
Ingham
Ionia
Jackson
Kalamazoo
Kent
Lapeer
Lenawee
Livingston
Macomb
Monroe
Muskegon
Oakland
Ottawa
Shiawasee
St. Clair
St. Joseph
Van Buren
Washtenaw
Wayne
Briefly describe your equipment and office setup.
This should include the number and types of vehicles you have, any other equipment used to do preservation and maintenance work, and the number of clerical workers/staff you employ & technical capabilities (computers, cameras, etc).
What type of insurance coverage do you have?
References: Please list up to 3 professional references. Include the company name, contact person, and phone number for each reference.
What would you say is the best part of doing business with your company?
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