Register now to be added to our database as a potential bidder for services in specific areas. By submitting this form, you will be added to Piedmont Construction Group's list of prospective bidders and service providers.

Company Information
* Full Legal Business Name:
* Types of Services Provided:
* Are You Bondable?:
* Is Your Company Unionized?:
If "Yes" union affiliation(s):
* What Sized Projects Are You Interested In?:
* What Types of Projects Are You Interested in?
Commercial Design/Build
Industrial Institutional
Other Residential
Mailing Address
* Address:
* City:
* Postal/Zip Code:
* Province/State:
* Country:
Remittance Address
(if different from Mailing Address)
Postal/Zip Code:
Other contact information
* Telephone:
( ) -
E-mail Address:
FAX Phone:
( ) -
Web Site Address:
Company information
Business Type:
State and/or Federal Taxpayer Identification Numbers:
Province/State in which Business is Organized:

Minority Business Type
(Notarized Minority Owned Business Certification will be required if / when contract is issued.)

Asian American
Asian Indian American
Asian Pacific American
Black American
Hispanic American
Native American
Not a Minority

Geographic Area Willing to Provide Services to:
(please select from the locations below)

Metro-Atlanta, GA
North GA
Macon, GA
Middle/Central, GA
Savannah/Coastal, GA
Southeastern Region
Person To Receive Bid Documents
Contact First Name:
Contact Last Name:

Enter any additional comments: