LOUISIANA TECH UNIVERSITY
Purchasing Office
PO Box 3157
Ruston, Louisiana 71272
(318) 257-4205
(318) 257-3772 - Fax
BIDDER’S APPLICATION FORM
COMPANY NAME: ___________________________________________________________________________
ADDRESS:
____________________________________________________________________
Street or Box City State Zip
NAME AND TITLE OF PERSON TO CONTACT CONCERNING BIDS:
______________________________________________________________________________
PHONE: _____________________________________ FAX: _________________________________________
E-MAIL ADDRESS: __________________________________
TYPE OF ORGANIZATION: _____ INDIVIDUAL _____ PARTNERSHIP _____ CORP
HOW LONG HAVE YOU BEEN IN BUSINESS? __________________________________________________
NUMBER OF PERSONS NOW EMPLOYED:
______________________________________________________
LIST AT LEAST TWO (2) BUSINESS REFERENCES (List complete address and phone number)
LIST THE COMMODITIES WITH PRINCIPAL BRAND NAMES AND/OR TYPE OF SERVICES FOR WHICH
BIDS ARE TO BE RECEIVED. LITERATURE AND/OR A SECOND SHEET MAY BE ATTACHED.
______________________________________________ __________________________________________
______________________________________________ __________________________________________
______________________________________________ __________________________________________
______________________________________________ __________________________________________
SIGNED: _____________________________________ DATE: ____________________________________