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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):	• Street Address:
• City:	• State:
• Zip Code:	• Phone #:
• Business Email:	• Contact Person's Name:
• Contact Person's Title:	• Contact Person's Email
• Tax ID	• Business License #
Certification Women Owner Minority Small Business DVBE/Disabled Veteran Owned Other If other enter name of certification:
• Business Type Corporation Limited Liability Sol Proprietor Corp Patrnership 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