Supplier Registration
The Village of Flossmoor is committed to increasing the diversity within our supply chain. Whenever possible, it is our goal to seek pricing or proposals for goods and services from businesses that reflect the diversity of our community. As a step toward that goal, we invite you to create a profile in the Village of Flossmoor supplier registration database. We will use this as a sourcing tool for future RFP and procurement opportunities.
Company Name *
Your answer
Doing Business As (DBA) Name
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
County *
Your answer
Telephone Number *
Your answer
Company Website
Your answer
Primary Contact Name *
Your answer
Primary Contact Title *
Your answer
Primary Contact Email Address *
Your answer
Date Established *
Your answer
DUNS Number
Your answer
NAICS Code
Visit www.census.gov/naics for more information.
Your answer
Provide a brief description of products or services you provide. *
Your answer
Number of Employees *
Your answer
Small or Large Business *
Check all that apply:
If any of the above applies, indicate which organization has certified your business.
Your answer
Certification of Information *
Electronic Signature *
Your answer
Name *
Your answer
Title *
Your answer
Date *
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