Contractor and Business Registration

If you would like to register your company with us and set up a COD Account, please fill out the form below and once set up we will email you a comprehensive price list.

    Legal Business Name (required)
    Business Address
    City, State, Zip
    Business Phone Number (required)
    Email Address (required)
    Business Website
    Owner's Name (required)
    Owner's Phone Number
    Primary Field (required)

    AsphaltLandscaperResellerConstructionExcavationOther (specify below)

    Are you a licensed contractor with the state of Utah?
    Contractor License Number
    Business License Number
    City, State of Issued Business License
    Tax Exempt?
    Yes (Attach Exemption)No
    I understand that all sales of material and services are final.
    Receipts will be given to the driver on every load for your records. Please collect them from your employees. There will be a research fee for any request for lost tickets more than 7 days old.
    Signed (required)
    Title (required)