Inspectors Registration
Please fill the form, the administrator will check your information and contact you soon.
   
First Name *
Last Name *
Business Name
Years in the flooring industry *
Current occupation *
Brief employment History *
Certification Company *
Certification Number *
Year of Certification
E-mail: *
Password *
Retype the password *
Office Phone ( )
Secondary Number ( )
Mail Address:
Street
P.O. Box
City
State *
ZipCode
 
For ACH Direct Deposit Payments: 
Bank routing number *
Bank account number *
Bank Name *
W9 Form *
Products you were trained or certified to inspect:
Carpet
Trained/certified by:
Ceramic/Stone
Trained/certified by:
Hardwood
Trained/certified by:
Laminate
Trained/certified by:
Resilient
Trained/certified by:
Specialty – Cork – Rugs
Trained/certified by:
Stone
Trained/certified by:
Woven
Trained/certified by:




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