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New Vendor Registration

Please complete the form below to apply to be a 23rd Group Registered Vendor.

Step 1 of 3

Business Information


Remittance Address

Where do we mail the check to? If the same address, select same address below.

Upload Your W-9

Either drop or upload your W-9 file through browsing from your computer. A pdf file of your W-9 is preferred.

Business Contact Information


Primary Contact
Secondary Contact

Major Trades / Core Services

Select ONLY the core services your company specializes in. If you are a Handyman and also provide minor electrical, plumbing, doors, painting and others, you would select Handyman only, only select Major Categories if you are licensed and/or Specialized in that trade.

Other Trades / Specialists

For companies that Specialize in specific trades, please select below. Please note, only select the below if these services are your core services. Ex. Painting Specialist: this is for Painting contractors and not for handyman who also handle painting.

Step 2 of 3

Services Offered: continued


Please describe pricing information for the services you offer.

Step 3 of 3

Proof of Insurance

Please confirm you can provide the following proof of insurance.




Please use the link below to download a sample COI which can be forwarded to you insurance agent. PLEASE NOTE: The certificate must list 23rd Group, LLC. as additionally insured. Under the Certificate Holder section of the COI, enter the following information: 23rd Group, LLC. 4944 Parkway Plaza Boulevard, Suite 400 Charlotte, NC 28217

Once Complete submit to Compliance@23rdgroup.com


Download Sample COI

Please sign here.