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TECHNICIAN REGISTRATION FORM
Basic Information
Owner Name
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Name
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Email
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Phone
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Password
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Password
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Website / URL
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Business Information
Years in Business
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Service Area
ZIP Codes Served
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Maximum Distance (in miles)
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Experience Bio
Services Offered
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Economy Package: TV Mounting
Economy: Above Fireplace
Electric Ceiling TV Mount w/ Remote
Fireplace TV Mounting
Premium Package: In-Wall Wire Concealment
Premium: Above Fireplace
Quad TV Mount
Table Top Setup
TV Uninstallation Service
Property Types
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Residential
Commercial
Equipments
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Extension Ladders
Laser Level
Stud Finder
Hammer Drill
Concrete Drill
TV Lift
Projector Tools
Cable Fishing Tools
Fibre Tools
Network Tester
Select all equipments you own.
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Pricing Information
Emergency Service
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Banking
Select Your payment Method
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Paypal
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Bank Name
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Routing Number
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Account Number
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Portfolio
Upload Company Logo
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Upload Profile Photo
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Upload Business License
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Upload Driver’s License
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Upload Portfolio Photos (Minimum 5)
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Upload W-9
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Upload Certifications
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Customer Experience
Languages Spoken
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Short Bio
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Why should customers hire you?
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20% Service Fee
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Please note that a 20% service fee will be deducted from each completed service payment.
GDPR Agreement
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I authorize Mounting Mouse to verify my business, insurance, and licensing information.
GDPR Agreement
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I agree to the Mounting Mouse Provider Agreement.
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