This form is intended to provide Contractors, Suppliers, and Services Providers a way to inform the Town of Hinton what their business has and what can potentially be utilized by the Town for future partnerships.
Name on Business License
Main point of contact
Office Number
Cell Phone Number
(Ex. Backhoe, Skid-Steer, Packer, etc.)
(Ex. Painting, Safety, Concrete Supply, etc.)
This field is not part of the form submission.
* indicates a required field