Technicians – Register Form

Technician Name *

Appliances that can Service

Gas Range
Dual Fuel Range
Liquid Propane - Natural Gas Conversion
Range Top / Cooktop
Refrigerator
Wine Cooler
Dishwasher
Range Hood
Barbecue - Outdoor Kitchen

Installations

I also do installations
I don´t do installations

Service Call Fee / First Visit Fee *

How much do you charge per visit or time and travel to diagnose

$

Really?

Wow that´s a lot! are you sure? Maybe we will apply for a job in your company! =D

Business Liability Insurance (amount)

Country *

State

If Country is United States

Province or Territory

Select One

Estado

If Country Mexico

Areas you can cover (Zip Codes) *

Add as many as you can cover. (one per field)

1	Zip Code
1	Zip Code

Add Another Zip Code

Email *

Phone

Address

Where should be ship spare parts?

Address for Location

Where should be ship spare parts?

Rating

Clear

Notes on this Technician

Any information relevant to other services, for example: "doesn´t work on saturdays", "fast response"...

I Agree to Receive SMS messages from Kucht

By checking this box, you agree to receive custimer care SMS messages from Kucht LLC related to this application or to schedule a techinician visit. You may reply STOP to opt-out at any time. Reply to HELP to 866-685-8248 for assistance. Messages and data rates may apply. Message frequency will vary. Visit our Privacy Policy to see our privacy policy.

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