Alliance Home Warranty Protecting America's Dream
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ORDER WARRANTY
RENEW WARRANTY
HOW TO REACH US
Phone Orders
1.866.546.6644
Fax Orders
1.800.772.1151
Customer Service
1.866.546.1819
Renewal Department
1.866.546.6464
CONTRACTORS | Service Provider Application
Contractors
(*Required fields)
*Trades serviced:























* License Numbers:  
* Owner Name:        
* Business Name:     
* Business Adress:   
* City: * State: *Zip Code:
*E-mail Address:       
Mailing Address (if different):
City: State:   Zip Code:
*Phone - business:   
FAX:   
Emergency:   
       Type:   
*TAX ID:
Hours of Operation

Monday - Friday:   

Saturday:   
Sunday:   
Labor Rates:   
(check one)
Number of Technicians:
Number of Trucks/Vehicles:
*General Liability Limits:
*Workers' Compensation:    (check one)
Please list the cities (and zip codes if you know them) you service for your normal
service rates:
Please list the cities (and zip codes if you know them) you are willing to service with
an extra travel charge. Be sure to include the travel charge:
Do you work with any other home warranties?    (check one)
     If yes, which ones:



  Other: 
Please list any ideas you may have to make our questionnaire better/easier.
                         
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