SUB-CONTRACTOR REGISTRATION FROM

SUB-CONTRACTOR REGISTRATION

COMPLETE THIS FORM IF YOU SEEK TO WORK WITH G L Lewis Construction Services.

Basic Information (All Basic Information MUST be completed)
Company Name:
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Address:
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City
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ZipCode
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Fax:
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Website
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Superintendent Name
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Superintendent Email
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Accounting Bookkeeper Name
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Contact Name:
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Years In Business:
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State:
  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
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Phone
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Cell Phone:
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Superintendent Phone
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Accounting Bookkeeper Phone
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Your E-mail Address
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Your E-mail Address
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Type of Contractor or Business - You MUST Check at least ONE
Type of Contractor or Business
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Other
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Other Information
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Attach a copy of your W-9:
Upload your documents...
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Attach a copy of your Insurance Certification:
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Attach Resume as well as References:
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Attach any other files you want to send us:
Upload your documents...
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Expiry Date W-9:
Select a date
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Expiry Date Insurance:
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Banking Information For Direct Deposits
Bank Name:
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Routing Number:
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Account Number:
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Square Pay Id:
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Submit Contractor Registration Information
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