AAM HOA Service Vendor Application

Vendor Name*

Comments (Please be as specific as possible)

Company Name*

Type Of Business*

Contact Phone*

Fax

Address*

City*

State*

Zip*

Company will be performing work on the property? Yes No

Email*

AZ businesses, are you currently an AACM Member? Yes No

Website

Please complete the Federal W-9 and indicate the following:

Please fax your proof of insurance-insurance cover sheet- to 602.870.8231, Attn: Susan Platner.

Status*

All information is REQUIRED for payment to be released. A lapse in insurance will terminate approved vendor status.

*=required field

Vendor Application Form