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Vendor Application
Vendor Application
Complete this form to register your firm with Pace. These listings are utilized by our buyers.
Company Name
1099 Vendor
Federal ID No.
e.g. 99-9999999
Contact Name
Mr.
Ms.
Note:
Fields in RED
Required!
Telephone Number
e.g. 999-999-9999
Fax Number
e.g. 999-999-9999
E-mail Address
e.g. xxx@yyy.com
Address to which bidding forms and purchase orders are to be mailed .(Include 9 digit zip code.)
Address 1
Address 2
City
Country
State / Province
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
Address to which payments are to be mailed. (Include 9 digit zip code.)
Payment Address same as Mailing Address
Address 1
Address 2
City
Country
State / Province
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
How long in present business?
Years
Type of Organization (Check One)
Individual
Partnership
Corporation
Other
Number of Employees
NAMES OF OFFICERS, MEMBERS OR OWNERS OF COMPANY, CORPORATION, ETC.
President
Vice President
Owners or Partners
List Product, Commodity or Service by Commodity Code.
Click here for Commodity Code List.
If there is no Commodity Code that pertains to your business, please describe your product or service:
Gross-Sales Last Year
Gross-Sales 2 Yrs. Ago
If you have any comments provide here
If you have any questions, please contact Pace Purchasing at (847) 228-3573.