PRS Online Vendor Form - Professional Retail Services

Skip to content

PRS Vendor Form

Please complete this form regarding your company and the services you offer. The better informed we are the better we will be able to assist you and your company. This form may be updated at any time by request. The information provided is for our use only and will not be released to any third party.

Step 1 of 7

14%

Company Name:*
DBA*
Organization Type*
Are You A Franchise?

Name*
First Last
Office: Phone*
Cell Phone*
Fax

Emergency Contact Name
First Last
Emergency Phone*
Email*

Mailing Address*
Street Address City ZIP / Postal Code Country

Physical Address (If Different From Mailing)
Street Address City ZIP / Postal Code Country

Service Categories*
- Automatic Doors
- Awnings
- Board-Ups
- Carpentry
- Carpet/Tile
- Cleaning
- Construction
- Doors
- Electric
- Food Clean Up
- Glass
- Grille/Gate
- Landscaping
- Locksmith
- Pest Control
- Plumbing
- Signage
- Snow Removal
Hourly Rate*
Trip Charge*

List Any Other Trades
Please list all Service Areas (State, City)*
New Vendor Package Upload:
Max. file size: 64 MB.
CAPTCHA