Provider Profile Form Please complete the form below to become a verified service provider or technician with Restaserve. This information will help us connect you with restaurants needing your services. Providers / Technicians Form Basic Information: Name Company Name (if applicable) Phone Number Email Address Location (City, State) Service Areas (Regions/States you cover) Professional Details: Equipment MaintenanceRepair ServicesInstallation ServicesPreventative MaintenanceEmergency RepairOther Specializations (Check all that apply): Cooking EquipmentRefrigeration UnitsDishwashing EquipmentVentilation SystemsCoffee MachinesSafety EquipmentSmall Wares Other 1-3 years4-6 years7+ years Equipment Brands: Which Equipment Brands Do You Specialize In? (Check all that apply) Cooking Equipment: VulcanGarlandRationalSouthbendBlodgett Other: Refrigeration Equipment: True RefrigerationTurbo AirTraulsenHoshizakiManitowoc Other: Dishwashing Equipment: HobartJacksonCMA DishmachinesMeikoChampion Other: Ventilation Systems: CaptiveAireGreenheckAccurex Other: Coffee Machines: La MarzoccoNuova SimonelliJuraRancilioWMFBunn Other: Other Equipment Brands (Optional): Certifications & Qualifications: Certifications (if any): Licenses (if applicable): Are you insured? YesNo Upload Certifications/License Documents: Service Details: Hourly Rate or Service Fee (Optional): Availability: Do you offer 24/7 Emergency Services? YesNo References (Optional): Client Reference 1: Name: Phone: Email: Client Reference 2: Name: Phone: Email: Additional Information: Describe your services and any special offerings: Upload Company/Service Logo (if applicable): Agreement: Terms & Conditions: By submitting this form, you agree to the Restaserve provider terms and conditions. I agree to the Terms & Conditions Providers terms and Conditions