Contractor Project Registration

Date

Project Name(Required)

Is this a PLA

Yes

General Contractor

General Contractor License Number

Project Address(Required)

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Approximate Start Date

Approximate End Date

Number of Plaster Tender Workers(Required)

Approximate # of Man Hours

Project Type (Choose all that apply)(Required)

New Building

Tennant Improvement

RemodelChoice

Cement

E.I.F.S.

Fireproofing

Scaffold

Will any work under this contract be subbed out, please specify.(Required)

Your Company Name(Required)

Your Company License Number(Required)

Your Company Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Your Phone Number

Your Fax Number

Your Email Address(Required)