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Shawnee County Vendor Registration

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Shawnee County Vendor Registration Powered By Docstoc
					                                                                      Shawnee County
                                                               PURCHASING DEPARTMENT
                                                                   CHARLENE MISCHKE
                                                                    Director of Purchasing
                                                                  200 SE 7th St., Room B-27
                                                                     Topeka, KS 66603
                                                                  (785) 233-8200 Ext. 4429
                                                                 charlene.mischke@snco.us
                                                                Network address: www.snco.us



                                   BIDDER APPLICATION
                                    SHAWNEE COUNTY

Complete this in its entirety to register as a bidder. A W-9 form must be completed and
submitted with this application.



Company Name__________________________________________
Solicitation Address_______________________________________
Attention to:_____________________________________________
Telephone Numbers:
Toll Free_________________ Local:_____________________
Fax Number__________________
E-Mail Address:_______________________________
Website:_____________________________________
Contact Person for Bid________________________



Accounts Payable Address:_________________________________
Attention to:____________________________________________
Telephone Numbers:
Toll Free_________________ Local:_____________________
Please list supplies, equipment and services estimated cost of $5,000 or more that you can
provide, and for which you wish to be considered for bidding and price quotation purposes.
Please list supplies, equipment and services estimated at a cost of $5,000 or less that you can
provide, and for which you wish to be considered for bidding and price quotation purposes.




Get the applicable Home Rule Resolutions (HR-2003-13 and HR-2009-2) at <http://www.snco.us/purchasing>.

				
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