Request for Vendor Information
VENDOR INFORMATION FORM
Email address *
COMPANY NAME: *
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MAILING ADDRESS FOR BIDS/PROPOSALS
STREET ADDRESS/PO BOX *
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City *
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State *
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Zip *
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TELEPHONE: *
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FAX: *
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DUNS NUMBER: *
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CAGE NUMBER: *
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TYPE OF ORGANIZATION
CHECK ALL THAT APPLY
IS THIS A BUSINESS (CHECK ALL THAT APPLY)
MINORITY BUSINESS ENTERPRISE *
SMALL BUSINESS ENTERPRISE *
WOMEN BUSINESS ENTERPRISE *
LABOR SURPLUS FIRM *
SPECIFIC CLASS OF MATERIALS/SERVICES YOU SEEK TO FURNISH
SELECT ALL THAT APPLY *
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No Director or employee may solicit or receive gifts, gratuities, entertainment or anything else of significant value given for the purpose of influencing the action of NWEC or of the recipient
PRINTED NAME OF PERSON SIGNING FORM *
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TITLE
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DATE *
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If proposal is not received within 1 business day, please contact NWEC at (580) 256-7425
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