Please complete the application form below to be considered for our preferred vendor list. As a preferred vendor, you will be contacted first when your type of services are needed rather than us searching for vendors. After your first successful job completion and positive feedback received from the customer, you will automatically be listed as a preferred vendor on our Preferred Vendor page with your logo, contact information if desired, and a link to your website or email.

Name *

First

Last

Email *

Company Name

Address

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone

Company TypeLandscaping Irrigation Lawn Chemical Camara/Surveillance Accounting/CPABookkeepingIT/Web ServicesInsuranceOther

Please describe company if you selected "Other"

Do you have a valid Florida License for your field?

• Yes
• No
• N/A

Do you have Workers Comp insurance coverage?

• Yes
• No
• N/A - Sole Proprietor

Preferred Customer Type

• Commercial (HOAs)
• Residential
• No Preference

Would you like DCAS to handle billing and payments on your behalf?

• Yes
• No
• Maybe - Tell me more.

How did you hear about us?

• Referral from current vendor
• Referral from your current customer
• Google/Internet Search
• Other

Please tell us any additional information you would like us to have to consider putting your organization on our preferred vendor list.

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