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VENDOR APPLICATION CITY OF SANDY SPRINGS PURCHASING DIVISION 7840 Roswell Rd. Bldg. 500 Sandy Springs GA 30350 e-mail tyra.little sandyspringsga.org New Applicant TELE 770 730-5600 FAX 770 206-1480 Name and/or Address Change Add Commodities ADDRESS COMPLETE NAME OF BUSINESS Delete Commodities FEDERAL I. D. OR SOCIAL SECURITY MAILING ADDRESS REMITTANCE ADDRESS CITY/STATE/ZIP ZIP CODE TELEPHONE NUMBER FAX NUMBER NAME OF REPRESENTATIVE S SERVING THE CITY OF SANDY SPRINGS CAN WE REQUEST QUOTES/COMMUNICATE VIA E-MAIL YES NO IF SO PLEASE INDICATE E-MAIL ADDRESS TYPE OF BUSINESS OR ORGANIZATION CHECK DEALER JOBBER INDIVIDUAL MINORITY MANUFACTURER RETAILER PARTNERSHIP SMALL BUSINESS FACTORY REP. COMMODITY INCORPORATED OTHER LENGTH OF TIME IN PRESENT BUSINESS NUMBER OF YEARS NAME OF OFFICERS OWNERS OR PARTNERS OF BUSINESS PRESIDENT VICE-PRESIDENT SECRETARY TREASURER OWNERS/PARTNERS DISTRIBUTION LOCATION OF NEAREST PLANT/WAREHOUSES INVOICING TERMS i*e* NET 30 DAYS ETC. ATTN ALL ITEMS FOR THE CITY OF SANDY SPRINGS MUST BE QUOTED F*O. B. DESTINATION NAME AND TITLE OF PERSONS AUTHORIZED TO SIGN BIDS* THE LIST MUST BE KEPT CURRENT TITLE PLEASE INDICATE ON THE ATTACHED LIST OF COMMODITIES/SERVICES FOR WHICH YOUR COMPANY IS INTERESTED IN SUBMITTING QUOTES BIDS AND PROPOSALS IT WILL BE THE RESPONSIBILITY OF EACH BIDDER TO NOTIFY THE CITY OF SANDY SPRINGS OF ADDRESS OR I certify that the foregoing information is a full true and correct statement of facts. I understand that my failure to respond to three 3 Bid Invitations of any one class will result in the City of Sandy Springs Purchasing Division discontinuance in sending future bid invitations on that particular commodity. D. OR SOCIAL SECURITY MAILING ADDRESS REMITTANCE ADDRESS CITY/STATE/ZIP ZIP CODE TELEPHONE NUMBER FAX NUMBER NAME OF REPRESENTATIVE S SERVING THE CITY OF SANDY SPRINGS CAN WE REQUEST QUOTES/COMMUNICATE VIA E-MAIL YES NO IF SO PLEASE INDICATE E-MAIL ADDRESS TYPE OF BUSINESS OR ORGANIZATION CHECK DEALER JOBBER INDIVIDUAL MINORITY MANUFACTURER RETAILER PARTNERSHIP SMALL BUSINESS FACTORY REP. COMMODITY INCORPORATED OTHER LENGTH OF TIME IN PRESENT BUSINESS NUMBER OF YEARS NAME OF OFFICERS OWNERS OR PARTNERS OF BUSINESS PRESIDENT VICE-PRESIDENT SECRETARY TREASURER OWNERS/PARTNERS DISTRIBUTION LOCATION OF NEAREST PLANT/WAREHOUSES INVOICING TERMS i*e* NET 30 DAYS ETC. COMMODITY INCORPORATED OTHER LENGTH OF TIME IN PRESENT BUSINESS NUMBER OF YEARS NAME OF OFFICERS OWNERS OR PARTNERS OF BUSINESS PRESIDENT VICE-PRESIDENT SECRETARY TREASURER OWNERS/PARTNERS DISTRIBUTION LOCATION OF NEAREST PLANT/WAREHOUSES INVOICING TERMS i*e* NET 30 DAYS ETC. ATTN ALL ITEMS FOR THE CITY OF SANDY SPRINGS MUST BE QUOTED F*O. B. DESTINATION NAME AND TITLE OF PERSONS AUTHORIZED TO SIGN BIDS* THE LIST MUST BE KEPT CURRENT TITLE PLEASE INDICATE ON THE ATTACHED LIST OF COMMODITIES/SERVICES FOR WHICH YOUR COMPANY IS INTERESTED IN SUBMITTING QUOTES BIDS AND PROPOSALS IT WILL BE THE RESPONSIBILITY OF EACH BIDDER TO NOTIFY THE CITY OF SANDY SPRINGS OF ADDRESS OR I certify that the foregoing information is a full true and correct statement of facts. .

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