Authorized Service Provider Application

Company Name: 

Phone: 

Address:

City:

State:

Zip Code:

Email: 

Fax: 

Zip Code:

Contact Name:

Position:

Cell Phone:

Service Category:

Other Services:

Is Your Company Licensed?: select Yes No

Is Your Company Insured?: select Yes No

Does Your Company Offer a Written Guarantee?: select Yes No

Will you offer a 10% discount for our VIP clients?: select Yes No

Additional Information:  

After submitting the application, service providers simply set up an account. Payment is made via PAYPAL or credit card. See Costs and Billing Procedure below...

What It Costs: The cost to receive customer calls is only: s $ 30.00 Per Live Operator Dispatched Customer Calls & $ 15.00 to receive calls from Repairs.com “Click-to-Call” customers (“Click-to-Call” customer calls bypass our live call center and are automatically connected exclusively and directly to your office telephone). Our Service Providers are only charged for the jobs they actually accept, plus a nominal $ 30.00 monthly Service Provider Fee. NO CONTRACT REQUIRED… EVERTHING IS ON A SIMPLE “MONTH-TO-MONTH” BASIS.

If approved, your company will become an “Authorized 1-800-REPAIRS & Repairs.com Service Provider” and may be recognized and advertised on various on-line directories such as www.yellowpages.com, www.yp.com, www.switchboard.com etc., which include & display your: Company Name, Address, Service Category, Hours of Operation, etc. (No Additional Charge!)