Quality Residential HVAC Services Trade Professional Participation AgreementCalifornia • July 14th, 2023
Jurisdiction FiledJuly 14th, 2023Company Name (“Participating Trade Professional”) Parent Company Name (if applicable) Company Name to be Included on Public Listing (if different than Company Name above) Street Address City State Zip Mailing Address (if different from above) City State Zip Federal Tax ID Number Tax Status (Circle one)Corporation, Partnership, SoleProprietor, tax-exempt Contractor License # Primary Program Contact Title Phone Number Email Address Mobile Number for Primary Program Contact Do you want to opt-in to receive any Quality Residential HVAC Services Program text using this mobile number?* (Circle One) Yes No Secondary Program Contact Title Phone Number Email Address Mobile Number for Secondary Program Contact Do you want to opt-in to receive any Quality Residential HVAC Services Program text using this mobile number?* (Circle One) Yes No Incentive Data Entry Contact Title Phone Number Email Address