281-301-5633
Houston & Surrounding Areas

VisaMastercardAmerican ExpressDiscover Technology, Service, & Installation


Welcome Installers. Please fill in all the appropriate information, otherwise it could delay the application process.

First Name:

 

Last Name:

 

Address:

 

City:

  State: Zip:

DOB

 --19

Home Phone:

 

Cell Phone

 

Email:

 
 
Please Provide 2 References.
May we contact #1 Yes:   No:
#1 Employer name:
Contact name:
Phone:
May we contact #2 Yes:   No:
#2 Company Name:
Contact Name:
Phone:
   
Please answer all questions to the best of your ability.

1. Do you have your own work Vehicle
    Year of Vehicle:

2. Do you carry contractors liability insurance? Yes:    No:    Willing to Get:

3. If so How much Coverage?

4. Are you SBCA certified? Yes: No:
    SBCA Number:   Expiration Date:

5. Years of experience Installing Satellite?  

6. Years of experience Installing Home Theater Systems?:

7. Years of experience Installing Plasma/LCD TV's:

8. Years of experience Installing Cad5 Networking cable:

9. Do you have experience repairing Computers:

10. Do you know how to do wall Drops?  

11. Do you ground the Satellite systems to FCC Regulations? 

12.  Do you have internet access? Yes: No:

13. Do you work on weekends?

14. How many miles from your home are you willing to travel? 

15. When are you willing to Start:?

Please List additional certifications or experience you may have.



Please state any additional comments that may influence our decision.
 

Please List the County's and areas You can cover.

 

Where Did you Learn about US?