Kensington Carpet One Floor and Home

Application Form

Personal Information :

First Name: *

Last Name: *

Position Applying For: *

Phone Number: *

Fax Number:

Address: *

City: *

Province: *

Postal Code: *

Email Address:

Installer Information
Years of Experience: *

Certified Journeyman:
No	Yes
Do you have helpers?
No	Yes
Are you registered with the WCB?
No	Yes
Do you have a GST number:
No	Yes
Please check all the following floor coverings that you can install : *
Residential Carpet
Commercial Carpet
Tile
Pre-finished Hardwood
Residential Lino
Laminate
Cork
Marble
Slate
Heat Weld
General Information
Do you have a vehicle and tools?
No	Yes

*required fields