Client Intake Form

Client Intake Form

Please complete the following information to set up your account with CCAC Building Solutions. Thank you

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

New Client Intake Form

Your Name*
Billing Address
Main Contact
Onsite Contact
Billing Contact
Name
Accounts Payable Contact
Who should receive electronic invoices?
Do you require a PO number?
Are you tax exempt? If yes, please upload the exception form.
Max. file size: 100 MB.
Do you need a Certificate of Insurance?
Do you need a W-9?
Do you need ACH information?
Are you working with a CCAC sales rep?