Green Plumbers Licensing Registration

Please have your credit card ready, and continue to the form below to apply for Green Plumbers Licensing. Your application will be reviewed in 2-3 business days to determine your company's eligibility. Licensee benefits include:

Use of the Green Plumbers logo
Find a Green Plumber proximity search listing
Retrofit program eligibility (expanding in 2012)
Marketing resources
...and more

Name:

Company:

Address:

City:

State:

Zip Code: *

Day Phone:

E-mail Address:

Application Details

Contractor's Licensing #: *

Or applicable state contractor information

Number of plumbers in your company:

Number of years your company has been in business:

Type of plumbing business you have:

Commercial/Industrial

New Residential

Service

(select all that apply)

I understand that licensees must complete all Green Plumbers courses:

Insurance Company/Limits:

Licensee Terms

By submitting your application for Green Plumbers Licensing membership, you certify that you have read and agreed to the current Licensed Green Plumber Agreement, located at: http://www.greenplumbersusa.com/agreement

Agree to Licensee Terms:

Continue to page 2:

Please have your credit card ready.