Home
BelVan Preferred Vendor/Sub Trade Application Form
Company
*
Company Name:
*
Phone:
*
Address:
Fax no.:
*
City, Province:
Postal Code:
*
Contact Name:
Phone:
Owner (if different from above):
Organization
*
Sole Owner:
Partnership:
Corporation:
Partner's Name (if applicable):
*
Started in (mm/yyyy):
Company's Previous Name (if applicable):
Insurance
*
WCB Registration No.:
*
Are you current? (Y/N):
*
Liability Insurance Provider:
*
Policy No.:
*
Coverage Amount $:
*
Expiry Date (mm/yyyy):
*
Information
Services
Products
Special Equipment
1.
1.
1.
2.
2.
2.
3.
3.
3.
4.
4.
4.
5.
5.
5.
General Contractor References
Company Name
Contact Name
Phone
*
1.
*
2.
*
3.
Supplier References
Company Name
Contact Name
Phone
*
1.
*
2.
*
3.