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DERS REGISTRATION FORM Bidders: Contractors desiring to submit an electronic bid via Bid Express MUST first register with INDOT by submitting this form. Failure to register will cause failure of the Bid Express bid submission process. Planholders: If you are not a Bidder but wish to be listed as a Planholder you must also submit this form. Please complete ALL fields on this form and FAX to 317-232-0676. Company Name: Street Address: City: Zip Code: Federal ID Number: Phone Number: FAX Number: E.
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