Application Form for Designers - Contractor-Tradesmen - Architect
Name of Company:
Application Date:
Address:
City:
State:
Zip Code :
Years in Business:
Phone:
Email Address:
Education:
How did you get your start?
About you:
What is your specialty?
Most memorable job:
License #
Insurance#
Insurance Name:
ASID Member?	yes No

Please include digital photo of your favorite job completed to michele@ocdesignersource.com

If you need flash to really show your wide spectrum of talents it is at a cost of an additional 100.00 for 3 photos if your application is accepted.

We will contact you after reviewing your application. If your application is approved, we will send you an Indemnification Agreement to sign and discuss further details of your company. If eligible the first 6 months are offered for free and $600.00 for the last 6 months. This must be paid for up front in full and is non refundable. After the one year contract has expired, you can renew your membership at a price of $100.00 per month if you are pleased with our services. Prices are subject to change per year due to supply and demand. Please sign below acknowledging that all the information is true to the best of your knowledge, and you have read and understood all the information stated above. Thank you for your inquiry.

Please note:
There is a $30.00 Application Processing Fee. Applications will be reviewed upon receipt of the processing fee.