Contractor License Registration

2. Annual Licenses Expire on June 30th Each Year.
4. Type of License:*
   -- Select One --ElectricalGeneralMechanicalPlumbingSign
5. First Time & Yearly License Renewals:
   $100.00 per trade
7. Business Name*
9. Business Address:*
11. DBA:
13. City*
14. State*
15. Zip Code*
17. Phone Number*
18. E-Mail:*
20. Contractor Name:*
21. License #:*
23. Include with Application a Valid copy of:
    Contractor's Drivers License, State of Oklahoma Contractor's License, & Certificate of Liability Insurance
25. Contractor's Drivers License
26. State of Oklahoma Contractor's License
27. Certificate of Liability Insurance
29. Payment Instructions:

    Call 918-209-4610 to pay by phone.  (Visa / Mastercard)

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field