Vendor Application

Anaconda Property Services, Inc.

Independent Vendor Application

Please complete the following questions.

Full Name *
E-mail Address: *
Business Name (if applicable)
Web Site
Business Phone
Mobile Number
Address *
City *
State *
Zip Code *
What kind of services do you provide?
Drive-by Photos Handyman Pool Services Carpentry Painting Plumbing Electrical General House Repairs Lawn Service Debris Removal Janitorial Other
Do you currently own a digital camera? *	Yes No Getting One
What type of internet connection do you have? *
Do you have liability insurance? *	Yes No
Does Anaconda Property Services, Inc. have your permission to perform a background check? *	Yes No
Additional Comments


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