TODAY'S DATE *

YOUR NAME *

COMPANY NAME *

COMPANY WEBSITE *

PHONE *

EMAIL *

ADDRESS *

How long have you been in business? *

Do you have general liability insurance? If not, can you get it, if we decide to contract with you? *

Do you have current workers' compensation insurance? If not, can you get it, if we decide to contract with you? *

Please clarify your trade services and/or product(s) below?

Why should Happe Homes consider your company to partner with us?:

Do you currently service any other residential home builders in the Des Moines area? *

If you selected, "Yes" above, please provide details on which companies. Provide details on previous work also.

Have you ever worked for Happe Homes before? *

If you selected, "Yes" above, please provide details, including dates on your work for us.

Have other builders ceased in using your services? If Yes, please explain.

How much volume have you handled before (i.e. homes per week)?

Enter any general comments that we should know.