Project Registration

Contractor Registration

Please list the area that you are applying to work in

Select One *

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Cell Phone *

Secondary Phone Number *

Are you able to remove old fixtures, install lighting components (ballasts, fixtures, lamps) without any instructions or oversight? *

Yes No

Do you own your own tools (Basic electrical tools, ladder, cordless drill, voltage meter) *

Yes No

How would you describe yourself? *

Individual or Sole Proprietor Company with more than one employee

Are you comfortable on manlifts? *

Yes No

Comments (Optional) *

Upload File (Optional) *

Max file size: 20MB

Submit