Contractor Sign-up Form

Contractor Sign-up

Thank you for your interest in being a part of the Contractor Locator. If you are currently installing Crown boilers, please fill out the form below. Be sure to complete the entire form, including the wholesaler you purchase from, for verification purposes.

If you are approved, you will be added to our Contractor Locator section of our website.

*If you are not currently installing Crown products and would like to be listed on our Contractor Locator, please click here to get started.*

Fields marked with an * are required.

Company Name *

Address *

City *

Zip Code *

Office Phone *

E-mail Address *

Contact Name *

Address 2

State *

Country *

Cell Phone

Website

Sector of the Industry Residential Commercial Institutional
Select all that apply

Number of Technicians
Including yourself

Number of Service Vehicles

Crown Products Installed Boilers Furnaces Indirect Water Heaters Air Handlers
Select all that apply

Wholesaler that you currently purchase Crown Boiler products from

Wholesaler Name *

Wholesaler Contact *

City

State

Are you currently enrolled in the Crown Extended Warranty Program?

If no, are you interested in receiving information on this program?

By submitting this form, I am requesting to be added to Crown Boiler Co.'s Contractor Locator. I understand that my listing is subject to the approval of Crown Boiler Co., and further information may be required.

I would like to receive the latest information on Crown Boiler Co. products by joining the Crown Boiler Co. mailing list.