Vendor Application Form
Company Profile
Company Name:
Address:
City:
Your Province:
Nova Scotia
Newfoundland
New Brunswick
Prince Edward Island
Quebec
Ontario
Manitoba
Saskatchewan
Alberta
British Columbia
Postal Code:
Telephone:
Fax:
Cell:
Pager:
E-mail Address:
Type of work - Trade:
Type of equipment:
Experience:
References:
Please check all that apply
General Liability Insurance?
Automobile Liability Insurance?
Workers Comp. Insurance?
Are you available for emergency work?
Are you available for weekend work?
Safety Certified or Safety Training?
Additional Comments:
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