General Contractor Member Application

Please note that this application process does not have a Save Content button. This application must be completed in one session, so please review the prompts and gather the necessary information before beginning.

Company Name

* Company Address Line 1

* Address Line 2

* City

* State

* Zip Code

* Contact First Name

* Contact Last Name

Billing Address Only needed if different from Company Address above

City

State

Zip Code

Mailing Address Only needed if different from Company Address above

City

State

Zip Code

Contact Title

Phone Number

FAX Number

Office Number

* Email Address

Certification

WBE
MBE
SBL

* Primary Services

NAIC Code URL - https://www.census.gov/programs-surveys/economic-census/year/2022/guidance/understanding-naics.html

NAIC Code

NAIC Code 2

NAIC Code 3

NAIC Code 4

BENEFITS

Health Insurance

(%) of Employee Premium

(%) of Family coverage

($) Deductible

Retirement Plan

Retirement Plan Types

Simple IRA
DEP/IRA
401K
SEP

Ownership Life Coverage

Face Amount

Coverage Type

Term
Universal

If coverage type of Term, how many years?

If coverage type is Term, what is the start year?

What do you want the master list to do for you?

How will you use the master list?

Will you provide annual company updates?

If yes, previous years Sales

If yes, Increase in bids/projects

If yes, other notable company growth indicators

If yes, Increase in sub-contractor growth

If yes, Subcontractor Names

Will you provide semi annual updates /feedback from using the master list?

Are you interested in bid /project collaborations?

Members Log In
Contractor Resource Partners ID:

Password:

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