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Purchasing Section

Vendor Registration Application
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You may then print this form and submit it to The Purchasing Division at the address below.

Finance and Management Agency
Purchasing Section
150 Frank H. Ogawa Plaza,
Suite 6223
Oakland, CA 94612
Phone: (510) 238-7566
Fax: (510) 238-7568


1. Company Name and Address For Receiving Bids and Purchase Orders:
If address is correct,
please check ( ) box.
If the above address is NOT correct, please print any changes or corrections in the space below.

Company Name:

Address:

City:

State:

Zip Code:

(Must Provide Zip, Plus Four)


2. Vendor Contact Information:

Please print only one department/individual to contact regarding Bids/Purchase Orders


Contact Person/Department:

Telephone No:

Fax No:

Email:


Federal Employer ID Number
(W-9 Taxpayer ID Application)

or

Social Security Number
(if individual)


4. Organization Type (Check Only One):

Individual ______(I)

Partnership ______(P)

Non-Profit ______(N)

Corporation ______(C)

Joint-Venture ______(J)

Other ______(O)



Accounting ITD Home Parking Personnel Revenue