We appreciate your interest in working with our company. The information submitted below will be used to assign work orders as they become available in your area.

If you have been referred to our company, please enter the name of your referral:

Name

SSN or Tax ID

Company

Address

City

State

Zip

Preferred Phone

Cell Phone

Alternate Phone

Fax

Email Address

Liability Insurance Company

Liability Insurance
Expiration Date

 

Do you have a digital camera? (Required)

Yes         No

Do you have a laptop computer?

Yes         No

Select all that apply...

Operating Systems Windows VistaWindows XP Windows 2000 Windows Millennium Windows Server 2003 Windows Mobile 5.0 Linux/Unix Macintosh

 

Internet Browsers Internet Explorer 7.0 Internet Explorer 6+ Netscape Lynx Mosaic HotJava

 

Internet Connection Cable DSL Satellite Dial Up

 

Equipment Digital Camera Notebook/Laptop PDA Cell Phone Wireless Data Card (subscription required through mobile service provider) Mapping Software (Streets & Trips 2007 recommended) GPS

 

Do you acknowledge and understand that if you are retained by AM Notary & Preservation, Inc., you will be working as an independent contractor? The completion of this application shall not be construed as creating an employee/employer relationship between you, your company or your employees and AM Notary & Preservation, Inc.; that it is the intent of the parties that every vendor/contractor performing work for AM Notary & Preservation be and remain an independent vendor/contractor and not employees of AM Notary & Preservation, Inc.; and that no vendor has the right to receive work from AM Notary & Preservation, Inc.; and that work shall be awarded based on performance which is determined on an individual basis?

Yes         No

Do you understand that if work is not completed according to guidelines, AM Notary & Preservation, Inc. may correct your invoice?

Yes         No

I am a licensed contractor.   Yes      No    License #:

Please choose the type of work you are interested in performing for AM Notary & Preservation, Inc.

Property Preservation (Lock changes, winterizing, boarding...) - Texas Only
Janitorial/Maid Services
Lawn Services Initial Cuts Monthly Grass Recuts
Debris Removal Vehicle Removal
Evictions Demolitions Health/Hazards Removal
Repairs/Estimates Minor Repairs Major Repairs

 

INSPECTION SECTION

Please choose the category of inspections that you/your company are interested in receiving. Check all that apply.

Collection Interview Rush Drive By Inspection
Mobile Home Commercial Environmental
Insurance

 

SIGNING AGENT

Are you a commissioned notary?   Yes      No

How much experience, if any, do you have with loan documents?

I am capable of using the Internet to receive work requests, inspections, closings... and/or uploading results, photos etc.)

Yes       No

Areas Covered

Please list the areas (Zip Code Range, Counties, Cities) that you will cover:
Example: 77012-77019, 77023, 77026

Additional Information

Please list additional information that we should be aware of about your services, experience, areas covered and prices that were not covered by the above questions.

I Agree to the Terms of Use

 

 

For additional information, contact us at 800.707.8537 or via email.