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Application for Placement on Bidders List

Fill out the online form below and click submit.
Alternatively, download PDF version and return via eMail or Post Office

Representative:

Number of years in current business:

Company Name and Address:

Tax Identification Number:
Number of employees on payroll:
Phone Number:

Fax Number:

Toll Free Phone Number:

Your Email Address:

Retail, Commercial,
Manufacturing Floor Space (sq. ft.):

Address to mail bids if other than above:

Warehouse (sq. ft.):

Select type of organization:

Indicate State if incorporated:
Annual Sales:

Minority Class:

Certified Minority:

Register me for a seminar:

 Type of equipment, supplies, materials, or services on which you desire to bid.



You will be contacted the following business day to confirm receipt of your application.

Modified June 25, 2007 by Webmaster