Register as a Vendor

Print
Press Enter to show all options, press Tab go to next option
Please correct the field(s) marked in red below:

1
Company Name
 *
2
Company Street Address
 *
Company Street Address
3
Email Address
 *
4
Fax Number
5
Remittance/Billing Address
 *
Remittance/Billing Address
6
Billing Contact Name
 *
Billing Contact Name
7
Billing Contact Description
 *
8
Billing Contact Phone Number
 *
9
Billing Contact Email
 *
10
Sales Contact Name
 *
Sales Contact Name
11
Sales Contact Description
 *
12
Sales Contact Phone Number
 *
13
Sales Contact Email
 *
14
Type of Business (As shown on 1099, used for reporting purposes)
15
Items your firm wishes to quote for bidder list
 *
16
MINORITY BUSINESS CERTIFICATION. Minority group members are Black Americans, Hispanic Americans, Asian-Pacific Americans, Native Americans and women. A minority business enterprise is defined as at least fifty-one (51%) of which is owned by a majority group member, or in case of publicly owned businesses, at least fifty-one percent (51%) of the stock is owned by minority group members. The wife or spouse being a 51% owner in accord with the State of Texas Statutes of Community property is not a factor as the intent is to measure the participation of women as owners of businesses in their own right. The submitter certifies that his/her firm
 *
MINORITY BUSINESS CERTIFICATION. Minority group members are Black Americans, Hispanic Americans, Asian-Pacific Americans, Native Americans and women. A minority business enterprise is defined as at least fifty-one (51%) of which is owned by a majority group member, or in case of publicly owned businesses, at least fifty-one percent (51%) of the stock is owned by minority group members. The wife or spouse being a 51% owner in accord with the State of Texas Statutes of Community property is not a factor as the intent is to measure the participation of women as owners of businesses in their own right. The submitter certifies that his/her firm
17
Please provide a copy of the company's W-9
 *
  1. To receive a copy of your submission, please fill out your email address below and submit.