Vendor Information Form

2. Company

4. Company Address

6. City

7. State

8. Zip Code

10. Phone Number

11. Fax Number

13. Contact Person

14. Email Address

16. Federal Tax ID Number (Business)

18. Contractor License Number (if applicable)

20. Type of Organization

    1. Individual
    2. Partnership
    3. Corporation
    4. Other

21. If the type of organization is other, please explain.

25. Officers, Owners, or Partners

27. President

28. Vice President

30. Secretary

31. Treasurer

32. Owners/Partners

34. Type of Business

    1. Manufacturer
    2. Construction
    3. Registered Dealer
    4. Surplus Dealer

    1. Service Establishment
    2. Architect/Engineer
    3. Other

35. If the type of business is other, please explain.

37. Products and/or Services Offered (additional information may be attached)

38. Additional Resources

40. Indicate types of requests your company would like to be informed of (check all that apply)

    1. Low-value purchases (less than $500)
    2. Informal bids (less than $30,000)
    3. Formal bids ($30,000 and above)
    4. Construction projects
    5. Requests for proposals

41. Please upload a copy of your IRS Form W-9

43. If Printing and Returning by Mail:

    Please return this form and IRS Form W-9 to: <br>Rowan County Finance Department<br> Attn: Purchasing Agent<br> 130 W Innes Street<br> Salisbury, NC 28144<br>

    Please return this form and IRS Form W-9 to:
    Rowan County Finance Department
    Attn: Purchasing Agent
    130 W Innes Street
    Salisbury, NC 28144
    

Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

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