Lapock Property Solutions - Subcontractor Registration

Company Name: *

Street Address: *

Address Line 2 *

City *

State / Province/ Region *

Zip Code / Postal Code *

Country

Company Telephone Number: *

Company Owner's Names(s): *

Cell Phone Number: *

Email Address *

How long has company been in business? *

How many employees does company have? *

How many sub-contractors does company use? *

Does your company provide preservation services? Please click all that apply: *

Does the company carry general liability insurance of $1,000,000 or more?

Subcontractor Registration