If you feel that you and your company want to partner with BelVan Construction, and you share our Core Values, you can pre-qualify by filling out this Pre-Qualification Form. Once received we will review the form and contact you if we feel you meet the requirements we are looking for.

BelVan Preferred Vendor/Sub Trade Application Form

*Company Name: *Company Email: *Phone:
*Address: Fax no.:
*City, Province: Postal Code:
*Contact Name: *Contact Email: *Phone:
Owner (if different from above):
*Sole Owner: Partnership: Corporation:
Partner's Name (if applicable): *Started in (mm/yyyy):
Company's Previous Name (if applicable):
*WCB Registration No.: *Are you current? (Y/N):
*Liability Insurance Provider:
*Policy No.: *Coverage Amount $: *Expiry Date (mm/yyyy):
Services Products Special Equipment
1. 1. 1.
2. 2. 2.
3. 3. 3.
4. 4. 4.
5. 5. 5.
General Contractor References
Company Name Contact Name Phone Email
Supplier References
Company Name Contact Name Phone Email

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