Procurement Services Application for New Vendors

Please complete the form below. Mandatory fields marked *

  1. State:* Zip Code:*
  2. Fax:
  3. State: Zip Code:
  4. Fax:
  5. Certifying Agency:
  6. Example: Electrician, E-Waste vendor, Retail vendor, audio visual vendor.
  7. A W-9 as issued by the IRS is required in order to complete the vendor registration process. To access the most recent W-9 form go to https://www.irs.gov/pub/irs-access/fw9_accessible.pdf, signed and dated W-9 is required to be attached to the application in order to complete the process.
  8. A Conflict of Interest form is required in order to complete the vendor registration process.
  9. All documents attached to the application shall be in PDF form only.

  10. Signature Date:*