Vendor Sign Up | Lux Management Group

Join the Lux Management Group vendor network. Questions? Email pm@luxmanagementgroup.com or call/text 480.999.2308.

Vendor Type

Are you applying as an individual or a business? *

Individual Business / Organization

First Name *

Last Name *

Social Security Number (SSN) * Required for W-9. Transmitted securely and used for tax reporting only.

Legal Business Name * Must match your EIN registration exactly.

Business Name / DBA

Point of Contact Name * Primary person we will work with day-to-day.

Tax Classification *

Employer Identification Number (EIN) *

Owner's Full Legal Name * The IRS requires the owner's name on W-9 Line 1. Your business name goes on Line 2.

How is your LLC taxed? * Not sure? Most single-member LLCs are disregarded entities unless you filed a tax election.

Owner's Full Legal Name * The IRS requires the owner's name on W-9 Line 1. Your LLC name goes on Line 2.

How is your LLC taxed? * Not sure? Most multi-member LLCs are taxed as partnerships unless you filed a tax election.

Describe your tax classification *

I do not have an EIN

Contact Information

Phone Numbers * At least one phone number required.

Email Address *

Website

Business Address

Street Address *

City *

State *

Zip Code *

Years in Business *

Reference 1 *

Reference 2

Services Offered

Service Areas

Which states do you serve? *

Arizona Alabama Florida All Lux Markets

Licensing & Bonding

Are you licensed? *

Yes No

License Number *

Licensed For *

Expiration Date

Are you bonded? *

Yes No

General Liability Insurance

Do you carry general liability insurance? *

Yes No

Insurance Company *

Policy Number *

Expiration Date *

Coverage Amount

Insurance Agent

Agent Phone

Workers Compensation

Do you carry workers compensation insurance? *

Yes No

Workers Comp Carrier *

Policy Number *

Expiration Date *

Coverage Amount

WC Agent

Agent Phone

If you do not carry workers compensation insurance, you must acknowledge the following exemption.

I acknowledge that I do not carry workers compensation insurance. I agree to hold Lux Management Group harmless for any work-related injuries sustained by myself or my employees while performing services on behalf of Lux Management Group properties.

Payment Information (ACH)

Your banking information is encrypted and used solely to process payments for completed work. It is never stored in plaintext.

Account Holder Name *

Routing Number *

Account Number *

Account Type *

Checking Savings

Documents

Optional, but it speeds up approval. PDF or photo, up to 10 MB each.

Certificate of Insurance (COI) (optional)

Click to upload or drag it here

Ideally lists Lux Management Group as certificate holder.

Business / Contractor License (optional)

Click to upload or drag it here

Your current license.

Bond Certificate (optional)

Click to upload or drag it here

If you are bonded.

Workers Compensation Certificate (optional)

Click to upload or drag it here

If you carry workers comp.

Additional Information

Anything else you would like us to know?