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DELBE
MANAGEMENT

Contractor Registration

DHS
Delbe Home Services
5185 MacArthur Boulevard, NW
Washington, DC 20016
(202)237-0187

*Name of Company :
 
*Contact person(s) :
 
Address :
 
City:  
State: 
Zip Code: 

Office # :   Fax # : 
Pager # :   Cell # : 

*Email Address :
 
Website Address :
 
Tax I.D. # :
 

Insurance info : (Please attach a copy of your Insurance certificate )

Service area : 


Services you can provide : 


Years in business : 

Two client references : 


Your hourly rate :
 
Your hourly rate for Delbe :
 
% discount on bid jobs : 

* Required information