Prime_logic

Personal & Company Information

Full Name *

Business Name (if any)

Phone Number *

Email Address *

Password *

Confirm Password *

Zip Code *

General Liability Insurance *

Upload or Browse Images
from System

Workman’s Comp Insurance *

Upload or Browse Images
from System

Business License/Tax Reciept *

Upload or Browse Images
from System

Service Location

City *

Area you Serve *

Service Radius (Miles) *

Services You Provide *(Select at least one)*

Residential Projects

Commercial Projects

Interior Painting

Exterior Painting

Cabinets

Wall Paper Removal

Skimming

Drywall Repair

Stucco Repair

Paver Sealing

Epoxy Floor Installation

Work Preferences

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Work Preferences

I confirm that the information provided is accurate*

I agree to Prime Logic’s Terms & Conditions and Code of Conduct*