If you are a Sub-Contract and desire to be included on the bidding lists
for future projects, please complete the following form.

Company Name:
Contact Name:
Address:
Mailing Address If Different Than Above:
Phone:
Fax:
Email Address:
Company Type: Sole Proprietorship
Corporation
LLC
Partnership
Other
Does your company qualify as any of the following: WBE
MBE
Not Applicable
What scope of work will your company be bidding on:
Current Licenses Held & Where:
General Liability, Workers Comp, Auto Insurance Limits:
Number of Years in Business:
Number of Employees:
Additional Comments Or Information that you wish to provide:
Email Address:

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1444 Municipal Pkwy • Douglasville, Ga. 30134 • T: 404-622-3468 • F: 404-622-1263 • info@princeventuresllc.com