To be registered on the URE website as an active geothermal contractor we will need the following information.Contractor Name(Required) First Last Email(Required) Phone(Required)Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Website Address(Required) HVAC Products or Brands Installed(Required) HVAC Geothermal Certifications(Required) International ground Source heat Pump Association Accreditation(Required) Yes No Consent(Required) I hereby verify the information to be true and complete. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.Contractor Representative Electronic Signature (Full Name)(Required) URE will list your company and contact information on our website. URE will not be using this information to make recommendations to our members as to which contractor to use for their geothermal system. CommentsThis field is for validation purposes and should be left unchanged.