VENDOR APPLICATION FORM BUSINESS INFORMATION Legal Name of Business * DBA (if applicable) Type of Entity (individual, corporation, partnership, etc) * Business Address * City, State, Zip * Phone * (###) ### #### Contact Name * Contact Email * Contractor's License #(s) and State of Issue * BILLING INFORMATION Billing Contact Name * Billing Contact Email * Payment Terms Requested * LOCATION/DISPATCH INFORMATION Location Name * Address * City, State, Zip * Dispatch Contact Name * Dispatch Contact Email * LOCATION/DISPATCH INFORMATION Location Name Address City, State, Zip Dispatch Contact Name Dispatch Contact Email HOURS OF OPERATION Business Hours * Do you accept after hours calls? * Yes No If so, please provide after hours contact information: SERVICES Please list the services you provide: * REFERENCES Company/Name * Contact Name * Contact Phone * (###) ### #### Contact Email * REFERENCES Company/Name Contact Name Contact Phone (###) ### #### Contact Email VENDOR DOCUMENTS MUST ALSO BE SUBMITTED TO COMPLETE THE APPLICATION PROCESS. CLICK HERE FOR REQUIRED VENDOR DOCUMENTS CONTACT US California General Contractor Lic #1022524 | Arizona General Contractor Lic #319985 © 2021 CREATIVE CONSTRUCTION