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Tell us about yourself
Name
Title
Email
Phone Number
Fax
Mobile
Pager
Nextel
Tell us about your company
Name
Address
City State Zip
--Select a State--
Alabama
Alaska
Alberta (Can)
Arizona
Arkansas
American Samoa
British Columbia (Can)
California
Colorado
Connecticut
Delaware
Washington D.C.
Florida
Fed. States Of Micronesia
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba (Can)
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
N. Mariana Islands
Montana
Nebraska
Nevada
New Brunswick (Can)
New Hampshire
New Jersey
New Mexico
New York
Newfoundland (Can)
North Carolina
North Dakota
Nova Scotia (Can)
NW Territory (Can)
Ohio
Oklahoma
Ontario (Can)
Oregon
Pennsylvania
Prince Edward Isle (Can)
Puerto Rico
Quebec (Can)
Rhode Island
Seskatchewan (Can)
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Website Address
Federal Tax ID
Year Founded
Annual Revenue
Geographic Coverage
Licensed Municipalities
Warranty
None
1 yr
2 yr
3 yr
4 yr
Other
Union
None
IBEW
CWA
Other
Company will work non-union jobs
President
Name
I am the president
Email
Phone
Fax
Mobile
Pager
Operations Manager
Name
I am the operations manager
Email
Phone
Fax
Mobile
Pager
You will need to provide the name of your company's president or operations manager. It would be nice to have both names, but you only need to provide one of them. In addition to the name of your president and/or operations manager, you'll also need to provide either a phone number or email address for those persons.
Liability Insurance
Company Name
Polilcy Number
Expiration Date
Best Rating
Workers Compensation Insurance
Company Name
Polilcy Number
Expiration Date
Best Rating
Mod Rating
Low Voltage License
State
Alabama
Alaska
Alberta (Can)
Arizona
Arkansas
American Samoa
British Columbia (Can)
California
Colorado
Connecticut
Delaware
Washington D.C.
Florida
Fed. States Of Micronesia
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba (Can)
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
N. Mariana Islands
Montana
Nebraska
Nevada
New Brunswick (Can)
New Hampshire
New Jersey
New Mexico
New York
Newfoundland (Can)
North Carolina
North Dakota
Nova Scotia (Can)
NW Territory (Can)
Ohio
Oklahoma
Ontario (Can)
Oregon
Pennsylvania
Prince Edward Isle (Can)
Puerto Rico
Quebec (Can)
Rhode Island
Seskatchewan (Can)
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Expiration Date
Electrical License
State
Alabama
Alaska
Alberta (Can)
Arizona
Arkansas
American Samoa
British Columbia (Can)
California
Colorado
Connecticut
Delaware
Washington D.C.
Florida
Fed. States Of Micronesia
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba (Can)
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
N. Mariana Islands
Montana
Nebraska
Nevada
New Brunswick (Can)
New Hampshire
New Jersey
New Mexico
New York
Newfoundland (Can)
North Carolina
North Dakota
Nova Scotia (Can)
NW Territory (Can)
Ohio
Oklahoma
Ontario (Can)
Oregon
Pennsylvania
Prince Edward Isle (Can)
Puerto Rico
Quebec (Can)
Rhode Island
Seskatchewan (Can)
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Expiration Date
Recent Jobs (Name/Address/Phone/Contact)
1
2
3
Top 3 Material Suppliers (Name/Address/Phone/Contact)
1
2
3
Typical Job Size
1 - 50
51 - 100
101 - 200
201 - 300
300 - larger
Staffing Information
Banking Information
# Technicians
# Mfr. Cert. Technicians
# RCDDs
# Lead Techs
# Project Managers
Bank Name
Contact
Phone
Tell us how you will log into OMNI
Company Code
Your Company Code uniquely identifies your company. Your Company Code can contain any combination of numbers and/or letters. You will be required to enter your Company Code whenever you, or someone from your company, logs on to OMNI.
User ID
Your User ID uniquely identifies you as a user within your own company. Your User ID can contain any combination of numbers and/or letters. You will be required to enter your User ID whenever you log on to this website.
Password
Re-enter Password
The password you enter must meet the following restrictions:
It must be at least 8 characters long.
It must contain at least 1 numeric character.
It must contain at least 1 non-numeric character.
By clicking here, you are acknowledging that you have read the
AASDI Master Agreement
and agree to all of the terms oulined in that document.