Standalone Service Contractor Application

Service Contractor Application

To become a vendor, please complete your information below and a Contractor Relations Representative will contact you shortly.

Company Name*
Name*
First Last
Email*
Phone*
Fax
Type of Work*
- Plumbing
- HVAC
- Electrician
- Garage Doors
- Septic System
- Pools
- Appliances
- Roof Repair
- Drywall
- Central Vacuum
- ReKey
- Pest Control
Tax Id Number (EIN)*
Business Structure*
Address*
Street Address City State ZIP Code
CC Tech
- Add this contractor as a “CC Tech”
Terms and Conditions*
- I agree to the Terms of Service of Choice Home Warranty.
This field is hidden when viewing the form
CAMS Vendor ID
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.