SLHS Contractor Referral Information

We understand that many are doing work other than what they may have been performing in the past. To better serve you and offer referrals as they come in, it is important for us to have good information to share with those calling in for a referral.

Required fields are marked with *

Contact First Name:* 
Contact Last Name:* 
Company Name:* 
Address:* 
City:* 
State/Province:* 
Zip/Postal code:* 
Country:* 
Phone:* 
Mobile: 
FAX: 
E-mail: *
Website: 


            Type of work that you are performing for clients (please answer Y or N):
Application of Finishes & Sealants: 
Log Accents or Remodeling: 
New Homes: 
Log Furniture: 
Log Restoration:  If Yes, do you: Cob blast? Glassblast? Sandblast? Soda blast? Replace Logs?
Roofing: 
Stonework: 
Other: 


  Area that you prefer to work:
Local:  ,within miles.
National: 
Regional:  ,within several states:
Within my state: 


Would you like to receive the Log Core*  If Yes, you will receive an E-mail notification for each issue.

Comments:


Thank you for your input so that we may work together on any possible leads!