Contractor intake

Contractor application

Fill in your information to join the Airmax contractor network. Fields marked * are required. Submitting with Accept creates a legally binding electronic agreement with Airmax Internet LLC.

First name *

Last name *

Company / LLC

Date of birth

Email *

Phone *

Social Security number *

Stored encrypted. Only last 4 shown in admin lists.

Trade / skills

Street address *

Address line 2

City *

State *

ZIP *

Emergency contact

Emergency phone

Anything else we should know?

Direct deposit for payments *

Bank details for contractor payment deposits. Routing and account numbers are stored encrypted.

Bank name *

Name on account *

Account type *

Routing number *

9 digits from your check or bank app.

Account number *

Stored encrypted. Only last 4 shown in admin lists.

Confirm account number *

Agreement with Airmax Internet LLC

You must open and read the full Agreement before you can Accept. Closing early is blocked until a normal reading time has passed and you reach the end of the document.

Not read yet — click Read Agreement

Type your full legal name *

Type your name exactly as it should appear. We create your electronic signature for the document from this name.

I Accept. I have read the Agreement. By checking this box and submitting, I am signing this document electronically and entering a legally binding contract with Airmax Internet LLC. The legal name I typed is my electronic signature and has the same legal effect as a handwritten signature.