Preferred Service Provider Application
Please fill out the attached application. If accepted into our Preferred Service Provider Program, you will be contacted by our Program Administrator who will review with you our “Manual of Guidelines & Expectations”.  It explains all of the benefits as well as the guidelines to get you started immediately on the program.
 
    
FULL NAME
STREET ADDRESS
CITY, STATE, ZIP
YOUR MESSAGE
PHONE
EMAIL ADDRESS
LICENSE NUMBER vendors who are not licensed will not be considered unless applying for a Home Sitter position.
INSURANCE NUMBER vendors who are not insured will not be considered unless applying for a Home Sitter position.
PREFERRED PRICING are you willing to provide preferred pricing to Luxus clients?
Submit
Tel.: 877-203-7771
Local: 786-923-0860
Fax: 305-508-6711
Email: info@luxushomecare.com
address
Miami, FL