Vendor Registration

Vendor Registration Form

Use the form below to register as a Vendor with the City of Palo Alto.

Type of Registration

Business Information
Business Name			REQUIRED
Business Address			REQUIRED
Address Line 2 (Apt, Suite)
City	State	Zip Code	ALL REQUIRED
Daytime Phone (555-555-1212)		Extension	REQUIRED
Fax Number (555-555-1212)
Federal Tax I.D. Number (or Social Security Number)			REQUIRED
Standard Invoice Terms
How Long in Present Business
Type of Organization
Name of Officers, Members, or Owners of Business			250 CHAR. MAX
California Contractors License Classification(s)
Contractors License Number(s)
Expiration Date(s)
Classes of equipment, supplies, material, and/or services which you desire to bid			500 CHAR. MAX
References (Other Public Agencies with whom you do business)			500 CHAR. MAX

Person to Contact Concerning Bids and Contracts
First Name			REQUIRED
Last Name			REQUIRED
Daytime Phone (555-555-1212)		Extension	REQUIRED
Alternate Phone (cell) (555-555-1212)
Email Address			REQUIRED
Notes			250 CHAR. MAX

Your Name and Contact Information
Your First Name			REQUIRED
Your Last Name			REQUIRED
Your Daytime Phone (555-555-1212)		Extension	REQUIRED
Your Alternate Phone (cell) (555-555-1212)
Email Address			REQUIRED
Notes			250 CHAR. MAX