TECH Trade Professional Participation AgreementTrade Professional Participation Agreement • April 4th, 2023 • California
Contract Type FiledApril 4th, 2023 JurisdictionCompany Name (“Participating Trade Professional”) Parent Company Name (if applicable) Company Name to be Included on Public Listing (if different than Company Name above) Street Address City State Zip Mailing Address (if different f rom above) City State Zip Federal Tax ID Number Tax Status (Circle one)Corporation, Partnership, SoleProprietor, tax-exempt Contractor License # Primary Program Contact Title Phone Number Email Address Mobile Number for Primary Program Contact Do you want to opt-in to receive any TECH CleanCalifornia text using this mobile number?* (Circle One) Yes No Secondary Program Contact Title Phone Number Email Address Mobile Number for Secondary Program Contact Do you want to opt-in to receive any TECH CleanCalifornia text using this mobile number?* (Circle One) Yes No Incentive Data Entry Contact Title Phone Number Email Address Mobile Number for Data Entry Contact Do you want to opt-in to receive any TECH CleanCalifornia text using this mobile number?* (Circle One