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Central Purchasing: New Vendor Application

  1. Products and/or Services Offered*

    Please check applicable categories.

  2. Does the company hold one of the following registrations/certifications?

    Please check those which apply.

  3. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  4. I certify that the information supplied herein (including all pages attached) is correct and that neither the applicant nor any person (or concern) in any connection with the applicant as a principal or officer, so far as is known, is now barred or otherwise declared ineligible by any public agency from bidding for furnishing, materials supplies, construction, or services to any agency thereof.

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