Trade Partner Information Form

Name: Orren Pickell Building Group
Address: 740 W Fulton St., #601, Chicago, Illinois, 60661

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Contact Information
Legal Name of Business:*
Mailing Address:*
Street Address Address Line 2 City State ZIP Code
Office Phone Number:*
Fax Number:
Email Address:*
Company Website:
Main Company Contact:*
Main Company Contact Title:
Main Company Contact Email:*
Main Company Contact Cell Phone:*
Tell Us About Your Company
What is your trade:*
Describe any special services:
(e.g., "We are an HVAC subcontractor that installs forced air and radiant systems in New Construction Homes.")
What year was the company founded?:*
Do you meet our insurance requirements?:
- Yes
- No
- Insurance Requirements
- Sample Certificate of Insurance (COI)
Percentage of Work that is:
New Construction (%) Remodeling (%)
Percentage of Work that is:
Residential (%) Commercial (%)
Which states will you work in:
- Select All
- Illinois
- Indiana
- Wisconsin
- Michigan
Minimum Contract Size ($):
Maximum Contract Size ($):
What percentage of your work is performed by subcontractors?*
Please enter a number from 0 to 100.
How would you like us to contact you:*
- Company Phone
- Email
- Cell Phone
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Phone
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Contact Information