Repair Guide Intake Form - Idyllwild

Repair Guide Intake Form

The information you provide is needed for the published Guide, for our private communication with you, and for the more elaborate Online Guide of this website with your picture and links. The published 2019 Guide will be more professionally done.
The 2011 Guide is here to remind you of what it looked like (click the images to enlarge).

Name of business to be shown to public

Contractor License # (E.g., "Lic.# 1234567")

Name of primary contact person

Private Direct Phone to Owner

Public Phone of Business

Login Email

Public Email

Category of your business [see brochure, select one]

Description of services [e.g., 'Solar and backup generator specialist']

Website (Please copy URL directly from your site: https://www.google.com)

If you do not have a website, would you like a page for your establishment on Idy-PC.com?
YesNoMaybe - Contact me about having a page on Idy-PC.com

Upload a nice picture of YOU!

Questions? E-mail Julia.Stratton@gmail.com

Go over the above to make sure everything is correct before submitting.