Vendor Bid List Application

* Indicates a required field

Contact Name: e.g. John Doe *

Company Name: *

Address: e.g. 921 West Bank Drive *

Address (cont.):

City: *

State: *

Zip Code: *

Work Phone: *

FAX:

E-mail: *

Type of services on which you desire to bid: *

Please indicate the maximum and minimum dollar amount of projects your company would be interested in: e.g. 2500 *

If you are a minority, women-owned, or small business, please check:

Minority Business
Women-Owned
Small Business

Minority business Enterprise Certificate No. (if applicable):

Federal Tax ID Number: e.g. 12-3456789 *

List any contracts with State of Alabama:

CONTACT INFO

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