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Provider Intake

Fill out this form to apply to join the Handy Mechanic provider directory. We’ll review your information and get back to you.

Legal or public-facing business name.
PNG or JPG recommended. Max ~2MB.
We’ll use this for account and customer notifications.
Include area code. Formats like (555) 555-5555 are OK.
Shop location used for maps and distance.
Hours of operation (typical week)
Set open/close times for each day. Leave unchecked for closed days.
15‑min increments
15‑min increments
15‑min increments
15‑min increments
15‑min increments
15‑min increments
15‑min increments
Services you offer
Add as many services as you offer. You can edit later.
Example: https://mobilebikerepairnorthcounty.com/
If provided, Schedule now will open this link.