Commerical Project Form

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Commercial Project Form

Project Name

Street Address

City

Region/State/Province

Postal / Zip code

Is this a new construction or a remodel?

New Construction

Remodel

Will retainagebe witheld?

Yes

No

If so, what percentage? (ex. 10%)

Is this job tax exempt?

Yes

No

If the answer is yes, please email your tax exempt form to apacheglassmirror@gmail.com.

General Contractor Contact Information

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Phone

Email

Fax Number

Company Type

Sole Proprietorship

Partnership

Corporation

Other

Superintendent

Name

Superintendent Phone Number

Superintendent Fax Number

Superintendent Email

Project Manager

Name

Project Manager Phone Number

Project Manager Fax Number

Project Mananger Email

Accounts Payable Contact Information

Accounts Payable Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Phone Number

Accounts Payable Fax Number

Accounts Payable Email

Pay Application Due Date

Architect

Firm Name

Architect Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Phone Number

Architect Fax Number

Architect Email

Project Owner

Project Owner Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Project Owner's Phone Number

Project Owner's Fax Number

Project Owner's Email

I understand no materials will be ordered or any work will be performed until this information is accurately and fully filled out and received by Apache Glass & Mirror.

If any information in this form changes, I understand I must update this form with Apache Glass & Mirror.

Your form has been submitted.

Apache Glass & Mirror

13306 Hwy 110 S.

Tyler, TX 75707

903-509-0031

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