Wawawai Group, Inc. -- Contractor Qualification Form

Exclusive Agent for United Coatings' New Marathon Ceramic Wall & Roof Coating Systems!

Certified Contractor Qualification Form
In order to apply to become a Certified Applicator, please fill out and submit the Certified Contractor Qualification form below:

Certified Contractor Qualification *Form ( Required Fields)**
* Legal Name of Firm:
Name under which business is conducted:
* Name of Person making this application:
* Address
* City:
* State:
* Zip:
FAX:
* Telephone:
* E-mail:
* Select Business Type:
* Years as a contractor:
* Date of incorporation or organization under present name:
Owner, partners or key officers names:
State in which firm is incorporated:
In what States are you licensed?:
** Name of bank/financial institution:
Insurance (CGL) carrier:
** Is your firm bondable?:


		Thank You! We Will Process Your Application Shortly!

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		P.O. Box 342 -- Pullman, WA 99163 -- Phone: 1-866-Wawawai -- Fax: (509) 332-0420

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