Technicians – Register Form

Technician Name *

Appliances that can Service

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

Email *

Phone

Address

Where should be ship spare parts?

Rating

Notes on this Technician

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

Validate Email