Seva Connect

Bronze Service Provider Registration

Business Information

Service Provider Name

DBA Name

Address

State

City

Zip Code

Category Details

Category

Sub-Category

Metro Area

Account Management

Primary Contact Name

Secondary Contact Name

Primary Email Address

Secondary Email Address

Primary Phone Number

Secondary Phone Number

Password

Sales Agent ID

Marketing Information

Web Address

Facebook

Instagram

Twitter

Company Bio

I agree to the Terms and Conditions

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