"Vendor Application Form" - City of Hayward, California

Vendor Application Form is a legal document that was released by the California Department of Finance - a government authority operating within California. The form may be used strictly within City of Hayward.

Form Details:

  • The latest edition currently provided by the California Department of Finance;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the California Department of Finance.

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Download "Vendor Application Form" - City of Hayward, California

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VENDOR APPLICATION FORM
__________________________________
Company Name:________________________________
(Legal Name)
Federal Tax ID#
___
__________________________________
Tax Payer Name:____________________________
(Legal Name)
Social Security #
PURCHASING INFORMATION
ACCOUNTS PAYABLE INFORMATION
_______________________________________________________
_____________________________________________
Address (Receipt of Order)
Address (Payment Remittance)
_______________________________________________________
_____________________________________________
City/State
Zip Code
City/State
Zip Code
_______________________________________________________
_____________________________________________
Contact Name
Contact Name
_______________________________________________________
_____________________________________________
Telephone #
Phone #
_______________________________________________________
_____________________________________________
Fax #
Fax #
_______________________________________________________
Payment Terms:_________________________________
E-mail Address
_____________________________________________
Standard Industry Code:_________________________
Web Address
____________________________________________________________________________________________________________
Commodity or Services Provided
(A cover letter on company letterhead and line cards may be included with this application)
Minority Owned? (Circle one)
Yes / No
(If yes, circle the applicable categories)
Female/Woman
African American
Asian American
Native American
Hispanic/Latin
Other (specify)_________________________
Business Data (Circle one)
Large Business
Small Business
Small Disadvantaged Business
Non-Profit
Woman-Owned
Does your company maintain a physical presence in the City of Hayward?
Yes____ No____
***PLEASE ATTACH A COPY OF YOUR COMPANY’S W-9 FORM TO THIS APPLICATION***
1
Department of Finance
V/C: ________
Purchasing Division
777 B Street, Hayward, CA 94541-5007
I/C: ________
Tel: 510/583-4800 Fax: 510/583-3600
Website: www.hayward-ca.gov
*For Purchasing Use Only
VENDOR APPLICATION FORM
__________________________________
Company Name:________________________________
(Legal Name)
Federal Tax ID#
___
__________________________________
Tax Payer Name:____________________________
(Legal Name)
Social Security #
PURCHASING INFORMATION
ACCOUNTS PAYABLE INFORMATION
_______________________________________________________
_____________________________________________
Address (Receipt of Order)
Address (Payment Remittance)
_______________________________________________________
_____________________________________________
City/State
Zip Code
City/State
Zip Code
_______________________________________________________
_____________________________________________
Contact Name
Contact Name
_______________________________________________________
_____________________________________________
Telephone #
Phone #
_______________________________________________________
_____________________________________________
Fax #
Fax #
_______________________________________________________
Payment Terms:_________________________________
E-mail Address
_____________________________________________
Standard Industry Code:_________________________
Web Address
____________________________________________________________________________________________________________
Commodity or Services Provided
(A cover letter on company letterhead and line cards may be included with this application)
Minority Owned? (Circle one)
Yes / No
(If yes, circle the applicable categories)
Female/Woman
African American
Asian American
Native American
Hispanic/Latin
Other (specify)_________________________
Business Data (Circle one)
Large Business
Small Business
Small Disadvantaged Business
Non-Profit
Woman-Owned
Does your company maintain a physical presence in the City of Hayward?
Yes____ No____
***PLEASE ATTACH A COPY OF YOUR COMPANY’S W-9 FORM TO THIS APPLICATION***
1
Department of Finance
V/C: ________
Purchasing Division
777 B Street, Hayward, CA 94541-5007
I/C: ________
Tel: 510/583-4800 Fax: 510/583-3600
Website: www.hayward-ca.gov
*For Purchasing Use Only
VENDOR APPLICATION FORM
Address (if different from above):________________________________________________________________
Describe (warehouse, sales office, administration office, plant, etc.):____________________________________
Type of business (Circle one) Corporation Partnership Individual Government Agency
How long have you been in business? __________
Are you incorporated? (Circle one) Yes / No.
Who are the principle owners? _________________________________________________________________
Who are some of your major customers? May we contact some of them for references? Yes / No
__________________________________________________________
_____________________________________________________
1. Company Name
Contact/Title
__________________________________________________________
_____________________________________________________
Address
Phone #
__________________________________________________________
_____________________________________________________
City/State
Zip Code
Fax #
__________________________________________________________
_____________________________________________________
2. Company Name
Contact/Title
__________________________________________________________
_____________________________________________________
Address
Phone #
__________________________________________________________
_____________________________________________________
City/State
Zip Code
Fax #
__________________________________________________________
_____________________________________________________
3. Company Name
Contact/Title
__________________________________________________________
_____________________________________________________
Address
Phone #
__________________________________________________________
_____________________________________________________
City/State
Zip Code
Fax #
Signature
Title
Date
2
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