Online Contractor Registration Form Town Registration Requirements:Copy Current State-Issued License and Current Driver's License Contractor Type * - Select -General Contractor (Fee: $150)Irrigation (Fee: $100)Water Well Driller (Fee: $100)OSSF (Fee: $100)Plumber (No Fee)Electrician (No Fee)Mechanical Contractor (Fee: $100) Company Information Company Name * Company Type * - Select -CorporationPartnershipSole Proprietorship Email Address * Street Address * State * Zip Code * Phone Number * Tax ID Number * Owner Information Owner Name * Email Address * Street Address * City/State/ZIP Code * Phone Number * Tax ID Number * Is the owner/contractor also the licensee? * Yes No Licensee Information Licensee Name * Licensee Address * City/State/ZIP Code * Phone Number * License Number * Copy of Current State-Issued License/Current Driver's License/Certificate of Insurance PLEASE ATTACH A COPY OF YOUR CURRENT STATE-ISSUED LICENSE, DRIVER'S LICENSE, AND/OR CERTIFICATE OF INSURANCE Files must be less than 2 MB.Allowed file types: gif jpg jpeg png. E Mail Address * City * Leave this field blank