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SDBE/MBE/WBE Vendor Application

Thank you for using the online application. Please be sure to complete all information requested. Incomplete applications will be invalid.

Contact Information (required):
Company Name:
 
Company Address:
City:
State:
Zip Code:
Contact Person:
Telephone:
Fax number:
Your E-Mail address:
   
Vendor Status:
SDBE
MBE
WBE
Other [Please indicate here]
   
 
SUPPLIES - GOODS - SERVICES

Please indicate all categories that apply:

Audiovisual equipment and supplies for education
Barber/beauty shop equipment or supplies
Clothing or other items of apparel
Maintenance services for:
Correctional equipment
Fire protection equipment
Medical equipment
Pest control
Radio and telecommunications equipment
Correctional equipment or supplies
Dairy products
Dental care equipment or supplies
Fire protection equipment or supplies
Food products, either fresh or canned
Food service equipment or machinery
Food service supplies (cutlery, dishes, glassware, trays,utensils, etc.)
Furniture
Janitorial supplies
Laundry chemicals
Medical equipment or supplies
Office machines, equipment, supplies
Pharmaceuticals
Protective clothing
Radio or telecommunications equipment
Safety equipment
Shoes, boots, etc.
Sporting goods, athletic equipment and products
Television/VCR equipment
Other: [Please indicate here]

 

Construction materials:
Building supplies
Concrete products
Lumber/wood products
Other: [Please indicate here]

Construction equipment - heavy
Construction equipment - light
Construction services:
Site work
Landscaping
Roofing
 

Detailed description of product(s) or service(s):

PO General Terms and Conditions

Submit

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