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Get NC Vendor Application 2013-2024

Rder Address Name (Payment sent to:) (Purchase Orders sent to:) Name Address Address City City State Zip County Federal ID Number State OR Zip County Social Security Number (if applicable) E-Mail: Contact Person Telephone Number ( ) Fax Number ( ) To qualify for a Minority Business Enterprise status, your business must be certified by the NC Office of Historically Underutilized Businesses, 51% of your business must be owned and controlled by a minority group, woman, or the di.

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