Contractor Application

I WANT TO JOIN LONG ISLAND'S FASTEST GROWING HOMEOWNER & CONTRACTOR CONNECTION!

To apply for our PRO Contractor Connection, please read and fill out the form below. We ask that you meet certain qualifying criteria. If you do not meet these minimum requirements, please do not submit an application. If you have questions about submitting an application, or need help, please contact us at info@contractorconnex.com.
We ask that:
	Your current business has been in operation for at least 3 years.
	You have the appropriate licenses in localities where required.
	You have general liability insurance.
	You have good customer references.

Step 1: Enter Your Contact Information
Company Name
Contact Name:
Street
City
State
Zip Code
Business Phone
(optional) Cell Phone
Fax
e-mail
Website Address
Nassau Suffolk Lumber Account #
Owner Years of Experience
(optional) Annual Sales Volume
License Numbers
Nassau
Suffolk
Queens
Other, please specify
Business Type		Commercial		Residential
Counties Served		Nassau	Suffolk	East End	Queens
Step 2: Describe Your Company
Describe your company as if you were speaking to a homeowner (25 words or less)
Professional Associations
Professional Certifications
Step 3: Tell Us What Kind Of Projects You Want.
New Homes		Design		Build
Remodeling		Design		Build
Kitchen & Bath Remodeling		Decks & Patios		Roofing & Siding
Handyman (small projects under $5,000)		Window & Door Replacement
Average Project Size
Can you supply building plans or recommend an architect?		Yes		No

*Must have a current account with Nassau Suffolk Lumber with a minimum of $10,000 in sales annually to qualify.

Name Of Person Submitting Application
-Agreements- By submitting this application, I affirm the information is correct and true, I agree to the disclaimer stated below.
1.To contact the homeowner within 2 business days of receiving the contact information. 2. To authorize Nassau Suffolk Lumber & Supply Corp. to send project leads and other related information via e-mail or fax. 3. To indemnify and hold harmless Nassau Suffolk Lumber & Supply Corp. from any claims made by 3rd parties arising out of work or services provided to such parties.
By selecting the Submit Application button, I affirm that the information in this application is true, and that I will abide by the Agreements stated above.
Please send me additional information about:
	Pro Travel Rewards Program			Subscribe to our Contractor Newsletter.
	Opening a new account. Apply online NOW!!!			Have a NSL representative contact me.
Uncheck this box if you do not want to be included in additional e-mail programs and savings.

Benefits of Joining