Fillable VENDOR REGISTRATION FORM (County of Otsego)

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VENDOR REGISTRATION FORM (County of Otsego)

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The VENDOR REGISTRATION FORM (County of Otsego) form is 2 pages long and contains:

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  • 9 check-boxes
  • 19 other fields

Country of origin: US
File type: PDF

U.S.A. forms for County of Otsego

BROWSE COUNTY OF OTSEGO (MI) FORMS

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1
VENDOR REGISTRATION FORM
*Denotes required field
*Company Name___________________________________________________________________
If Sole Proprietor
*Individual’s Name__________________________________________________________________
Date of Birth_____________________________________________________________________
Taxpayer ID_______________________________________________________________________
FEIN__________________________________________________________________________
Social Security Number___________________________________________________________
*Contact Name_______________________________________________________________________
*Mailing Address_______________________________________________________________________
Street/PO Box_____________________________________________________________________
Apt. #____________________________________________________________________________
City_____________________________________________________________________________
State___________________________________________________________________________
Zip_______________________________________________________________________________
Phone__________________________________________________________________________
Fax_________________________________________________________________________
Cell phone___________________________________________________________________
*E-mail Address__________________________________________________________________
Web site Address______________________________________________________________
2
*Type of Business
_____Agency _____Corporation _____Federal Agency
_____State Agency _____Partnership _____Proprietorship
_____Self _____Local Government _____Other
List the type of products or services you sell. Please be specific.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Fax or mail your completed registration to: Otsego County
Attn: County Administration
225 West Main Street, Suite 203
Gaylord, MI 49735
Fax # 989-731-7529
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VENDOR REGISTRATION FORM (County of Otsego)

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Completed 18 July 2020

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