Request Referral - HomeSolutionsBiz.com - Homeowner Referral Service

First/Last Name:

Address:

City:

State:

Zip Code:

Daytime Phone:

Evening Phone:

Cell Phone:

E-Mail Address:

Best Time to Call:

Job Description:
(Please be as specific as
possible.)

Estimated Budget:

Time Frame to Start Project:

How You Heard About Us:

Clicking on "Submit Request" indicates that
you've read, understand and agree to the following:

I understand and acknowledge that Home Solutions Network, LLC, (hereinafter "HSN") is a referral service and will refer contractors to be considered by me to accomplish a job that I described in and online Work Request for to a representative of HSN. Any arrangements made, or contracts negotiated, are strictly between me and the contractor. I understand that the contractors referred to me are independent of HSN. HSN has not made any representation or warranty regarding the contractor, the work to be performed, or the nature or quality of the work anticipated to be accomplished. I agree to satisfy myself that the contractor meets the standards of work I require. I hereby release and hold HSN harmless from any defect in workmanship, default, damage, injury or expense arising out of the work performed by, or my dealings with, a contractor referred by HSN and/or hired by me.