Potential Vendors Registration

If you are a vendor or vendor representative and want to be added to our potential Vendor List please complete the following form:

• Required Fields

Today's Date

Vendor Information

• Business Name

• DBA (if not applicable type in N/A):

• City:

• Zip Code:

• Business Email:

• Contact Person's Title:

• Tax ID

• Street Address:

• State:

• Phone #:

• Contact Person's Name:

• Contact Person's Email

• Business License #

Certification

Women Owner
Minority
Small Business
DVBE/Disabled Veteran Owned
Other

If other, enter name of certification:

• Business Type

Corporation
Limited Liability
Sole Proprietor Corp
Partnership
Non Profit Corporation

• Services Your Company Provides

Audio Visual
Books
Communications/Phones/Postage/Pagers/Radios
Copiers
Computers & Computer Supplies
Curriculum Materials
Furniture
Janitorial/Operations Supplies
Kitchen Supplies
Medical/Dental
Office Supplies
Paper: Stationary/Envelopes/Business Cards/Letter
Printers, Scanners all Peripherals
Rents and Leases for Modulars and Portables
School Construction/Public Works
Science Equipment and Supplies
Signs and Marquees
Software
Sporting Goods
Telecommunications and Networking
Vehicles/Repairs/Services/Supplies

• Do you have MSDS available for all hazardous materials?

Yes
No
N/A

Question: Five letter abbreviation for San Jose Unified School District (5 characters required)

Please answer the question above here: