Vendor List Application

Vendor List Application

Please enter all the information on the following form, and press SUBMIT.

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Name and Mailing Address
for Bid Requests and Purchase Orders

Company Name

Address

City

State

Zip Code

Country

Contact Person

Name and Mailing Address
for Payments

Company Name

Address

City

State

Zip Code

Country

Contact Person

Business Information

Phone Number

Web Site

Email Address

Place of Business

Business Type

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Federal ID # (EIN)

Social Security #

Products or Services Offered

Product or Service Offered

Product or Service Offered

Product or Service Offered

Vendor Payments ARE Reportable to the IRS on Form 1099-Misc.

Certified Minority Business Classification

{{x.DESCRIPTION}}

Received Minority Certification From

SUBMIT

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