Fillable Vendor Registration Form (South Mountain Community College)

Fill Online, Printable, Fillable, Blank Vendor Registration Form (South Mountain Community College) Form

Use Fill to complete blank online SOUTH MOUNTAIN COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Vendor Registration Form (South Mountain Community College)

On average this form takes 32 minutes to complete

The Vendor Registration Form (South Mountain Community College) form is 3 pages long and contains:

  • 0 signatures
  • 195 check-boxes
  • 37 other fields

Country of origin: US
File type: PDF

U.S.A. forms for South Mountain Community College

BROWSE SOUTH MOUNTAIN COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Company Name: _______________________________________________________________________________________________________________
Parent Company Name (If Applicable): ____________________________________________________________________________________________
Order From Address (This is the name and address that will appear on purchase orders and checks)
Division (if applicable):
Street / PO Box:
City, State, Zip+4:
Contact Person/Title:
Payment Terms*:
*Use only if the payment terms apply to ALL MCCCD issued purchase orders.
Telephone: ( )___________________ FAX: ( )________________________ E-Mail ___________________________________
Remittance Address (if different than Order From Address)
Division (if applicable):
Street / PO Box:
City, State, Zip+4:
Contact Person
Contact’s Title:
Telephone: ( )_____________________ FAX: ( )_______________________ E-Mail __________________________________
Classification Information
Class Type (please check one category if applicable):
Minority-owned business (MBE) Woman-owned business (WBE) Minority Woman-owned business (MWBE)
Tax Information - Required
(Please note, a vendor’s registration will not be considered by the Maricopa Community Colleges District without the following information.)
Tax Reporting Name (Name shown on your income tax return):
Taxpayer ID Number:
Federal Tax ID #:
or Social Security #:
Note: The Federal Tax ID # or Social Security # provided must be the correct number for the Tax Reporting Name.
Arizona Sales Tax # (transaction privilege tax #)_____________________________________
Does your company collect Arizona Sales Tax? Yes No
If outside of Arizona, does your company have nexus with the state of Arizona? Yes No
Tax Contact Person:_______________________________ Tax Contact Title:___________________________________
Tax Mailing Address: Division (if applicable):____________________________________________________________
Street/PO Box:___________________________________________________________________
City, State, ZIP+4_________________________________________________________________
Organization Type (Check One):
Corporation (includes S-Corp) Individual Partnership Government Agency
**Foreign Suppliers use Form W-8 ECI or W-8 BEN available at http://www.dist.maricopa.edu/purchasing/vendor/index.htm#forminfo
Under penalties of perjury, I certify that: (1) The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to
me); (2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service that
I am subject to backup withholding, or (c) the IRS has notified me that I am no longer subject to backup withholding; and (3) I am a U.S. person (this includes U.S.
resident aliens).
Authorized Printed Name:
Authorized Signature:
Date:
**By completing this form, you are registered with all ten of the Maricopa Community Colleges. To view these campuses, please visit http://www.maricopa.edu/ .
Page 1 of 4, Revised 11/15/06
Maricopa County Community College District
Purchasing Department
2411 West 14th Street
Tempe, AZ 85281-6942
Web Site: http://www.maricopa.edu/purchasing/
(480) 731-8520 Voice
(480) 731
-
8190 FAX
Vendor Registration Form
for MCCCD use only
Date: Vendor Number:
The Maricopa County Community College District’s Commodity Codes
Check all of the products and/or services provided by your company
A - Advertising
❏ 037-52 Advertising Specialties-Imprinted Items
❏ 080-00 Advertising Specialties-Badges, Name Tags
❏ 715-00 Publications and Audiovisual
❏ 915-00 Communications & Media Services
B - Automotive
❏ 055-00 Accessories
❏ 060-00 Maintenance and Repair
❏ 060-57 Glass-Door, Windshield etc.
❏ 065-00 Automotive Bodies-Accessories, Parts
❏ 070-00 Vehicles
❏ 075-00 Shop Equipment
❏ 405-00 Fuel, Oil, Grease and Lubricants
❏ 863-00 Tires and Tubes
❏ 928-00 Maintenance and Repair
C - Buildings and Grounds
❏ 150-00 Builder's Supplies
❏ 155-00 Buildings and Structures
❏ 155-50 Building, Modular & Portable
❏ 200-00 Clothing / Apparel
❏ 285-00 Electrical Equipment & Supplies
❏
330-00 Fencing
❏ 335-00 Fertilizers / Soil Conditioners
❏ 340-00 Fire Protection Equipment
❏ 360-00 Floor Covering
❏ 485-00 Janitorial Equipment and Supplies
❏ 515-00 Lawn Equipment and Parts
❏ 540-00 Lumber Products
❏ 560-00 Material Handling Equipment
❏ 635-00 Painting Equipment and Supplies
❏ 670-00 Plumbing Equipment and Supplies
❏ 745-00 Asphaltic Materials
❏ 750-21 Cement
❏ 770-00 Roofing
❏ 801-00 Signage
❏ 890-00 Water Treatment
❏ 910-59 Pest Control
❏ 981-00 Rental or Lease of Equipment
D - Communications
❏ 280-00 Cabling
❏ 287-00 Electronic Components
❏ 725-00 Radio / Telephone / Telecom
❏ 730-00 Telecommunication Testing
❏ 803-00 Sound Systems
❏ 840-00 Television Equipment
E - Computers
❏ 204-00 Hardware and Peripherals (Micro)
❏ 206-00 Hardware and Peripherals (Mini)
❏ 207-00 Accessories and Supplies
❏ 208-00 Software (Micro)
❏ 209-00 Software (Mini)
F - Consulting Services
❏ 914-38 Electrical
❏ 918-04 Fiscal
❏ 918-07 Advertising
❏ 918-15 Architectural
❏ 918-26 Public Relations
❏ 918-28 Computer Hardware
❏ 918-29 Computer Software
❏ 918-31 Construction
❏ 918-42 Engineering
❏ 918-43 Environmental
❏ 918-66 Human Resources
❏ 918-74 Legal
❏ 918-76 Marketing
❏ 918-78 Medical Provider
❏ 918-95 Telecommunications
G - Contractors
❏ 906-78 Security Systems
❏ 913-94 Paving/Resurfacing
❏ 914-00 Construction General
❏ 914-30 Concrete
❏ 914-38 Electrical
❏ 914-50 HVAC
❏ 914-55 Masonry
❏ 914-61 Painting
❏ 914-68 Plumbing
❏ 914-73 Roofing
H - Food Services
❏ 165-00 Cafeteria, Kitchen Equipment-Commercial
❏ 165-01 Food Services; Kitchen Equipment
❏ 375-00 Foods-Bakery
❏ 380-00 Foods-Dairy Products
❏ 385-00 Foods-Frozen
❏ 390-00 Foods-Perishable
❏
393-00 Foods-Staples, Groceries and Misc
❏ 393-77 Foods-Soft Drinks
I – Furniture
❏ 410-00 Health Care
❏ 415-00 Laboratory
❏ 420-00 Cafeteria / Classroom / Library
❏ 420-04 Auditorium
❏ 425-00 Office Furniture
J - Instructional & Library Products
❏ 050-00 Art Equipment and Supplies
❏ 233-00 Crafts
❏ 525-00 Library Equipment and Supplies
❏ 545-00 Machinery and Hardware
❏ 580-00 Musical Instruments and Supplies
❏ 655-00 Photographic Equipment and Supplies
❏ 680-00 Police Equipment and Supplies
❏ 785-00 School Equipment and Supplies
❏ 785-05 Atlases, Charts, Globes & Maps
❏ 785-20 Books and Manuals
❏ 785-70 Instructional Aides
❏ 785-93 Vocational Equipment & Supplies
❏ 805-00 Sporting / Athletic Equipment
❏ 855-00 Theatrical Equipment and Supplies
❏ 880-00 Visual Education Equipment and Supplies
❏ 880-11 Audio Visual Equipment and Supplies
❏ 895-00 Welding Equipment and Supplies
❏ 908-00 Bookbinding / Rebinding
K - Laboratory/Medical Equipment and Supplies
❏ 175-00 Chemical Lab Equipment & Supplies
❏ 193-00 Clinical Lab Equipment & Supplies
❏ 260-00 Dental Equipment and Supplies
❏ 490-00 Laboratory Equipment and Supplies (General)
❏ 490-55 Spectrometers
❏ 490-58 Microscopes
L - Office Equipment & Supplies
❏ 395-00 Forms & Labels-Continuos
❏ 600-00 Office Machines and Accessories
❏ 600-38 Copiers-Plain Bond
❏ 610-00 Carbon Paper and Ribbons
❏ 615-00 Office Supplies, General
❏ 615-82 Stock Forms and Labels
❏ 620-00 Writing Instruments-Pens, Pencils, Markers
❏ 645-00 Paper (For Office and Print Shop Use)
M - Printing Products & Services
❏ 700-00 Printing Plant Equipment and Supplies
❏ 915-48 Graphic Arts Services
❏ 915-58 Mailing Services
❏ 966-00 Printing and Related Services
N - Services
❏ 906-07 Architectural
❏ 906-40 Graphic Design
❏ 906-56 Landscape Architecture
❏ 909-00 Construction Management
❏ 909-76 Sitework
❏ 910-10 Carpet Cleaning
❏ 910-13 Elevator Installation & Maintenance
❏ 910-27 Trash Removal
❏ 910-36 HVAC Services
❏ 910-39 Janitorial Services
❏ 910-48 Locksmith Services
❏ 910-54 Painting Services
❏ 910-59 Pest Control
❏ 912-44 Excavation Services
❏ 913-94 Paving & Resurfacing
❏ 915-64 Media Clipping Services
❏ 915-82 Video Production
❏ 915-72 Photography
❏ 924-00 Educational Services
❏ 925-07 Engineering, HVAC
❏ 925-17 Engineering, Civil
❏ 925-31 Engineering, Electrical
❏
925-35 Engineering, Environmental
❏ 925-46 Geotechnical-Soils
❏ 925-67 Engineering, Mechanical
❏ 925-88 Engineering, Structural
❏ 946-00 Financial Services
❏ 946-15 Appraisal Services-Real Estate
❏ 946-16 Appraisal Services-Non Real Estate
❏ 946-25 Banking Services
❏ 946-33 Collection Services
❏ 946-48 Financial Advisory Services
❏ 946-54 Leasing Companies
❏ 948-00 Health Related Services
Page 2 of 4, Revised 11/15/06
❏ 953-00 Insurance, All Types
❏ 954-00 Laundry & Dry Cleaning
❏ 954-05 Laundry & Linen
❏ 956-00 Library Services
❏ 961-15 Catering Services
❏ 961-40 Food Management Services
❏ 961-53 Marketing Services
❏ 961-78 Travel Agency and Charter Services
❏ 962-09 Auctioning Services
❏ 962-24 Courier/Delivery Services
❏ 962-40 Hazardous Material Services (inc. Disposal)
❏ 962-56 Moving Services
❏ 962-87 Transportation Services-Local
❏ 962-88 Transportation Services-Non Local
❏ 964-00 Personnel, Temporary
❏ 966-81 Silk Screen Printing
❏ 968-74 Street Sweeping
❏ 968-90 Vehicle Towing & Storage
❏ 971-00 Real Property Rental or Lease
❏ 971-08 Building Rental or Lease
❏ 971-30 Hotel-Motel Accommodations
❏ 971-35 Land Rental or Lease
❏ 971-45 Office Space Rental or Lease
❏ 971-65 Room Rental Conferences, Seminars etc
❏ 977-37 Film, Movie & Video Tape Rental
❏ 988-52 Landscaping (including Design, Fertilizer)
❏ 988-88 Tree Trimming & Pruning
❏ 990-00 Security, Fire, Safety & Emergency Serv
❏ 990-46 Guard & Security Services
O. - Miscellaneous
❏ 035-00 Aircraft & Airport, Equipment, Parts, Supplies
❏ 200-00 Clothing, Apparel, Uniforms, & Accessories
❏ 045-00 Appliances & Equipment, Household
Other
Page 3 of 4, Revised 11/15/06
Instructions
for filling out the Vendor Registration Form:
1. Make a copy of the blank registration form to notify us of address changes your company
may have in the future.
2. Type this form, if possible. This form can be filled out online at
http://www.maricopa.edu/purchasing/VRF.pdf
3. Make sure the form is signed.
4. Enter the purchasing site address in the first block.
5. Enter the remittance address; the address MCCCD will send payment to in the second
block. Include payment terms only if it relates to all MCCCD issued purchase orders.
6. Check a classification type in third block, if applicable; otherwise, leave the block blank.
7. A Federal Tax ID number or a Social Security number must be included on this form in
order to be listed as a vendor with MCCCD. If a Social Security number is listed, please
indicate the legal name for that number.
Your parent company or headquarters may have a different Federal Tax ID number
from yours. Please enter your Federal Tax ID number.
The District is NOT exempt from sales tax (except for Library use) and pays sales tax to
in-state vendors. For purchases from out-of-state vendors who do not have an “Arizona
Transaction Privilege Tax License”, the District pays use tax
to the State of Arizona.
If your company does not have an “Arizona Transaction Privilege Tax License”, mark
“none” in the appropriate box.
8. If you are a foreign individual or foreign corporation use form W-8 ECI or W-8 BEN.
These forms are available to be downloaded from the Web at
http://www.maricopa.edu/purchasing/vendor/index.htm#forminfo
9. The second and third page lists commodity categories. If you wish to receive
“Invitation(s) for Bid,” please indicate the commodity category or categories your
business falls under. If your product or service is not listed, please list your product or
service on the line marked “Other.”
10. Send your completed vendor registration form to:
Maricopa County Community Colleges
District Office, Purchasing Department
2411 West 14th Street, Tempe, AZ 85281-6942
11. Questions? Please call us at (480) 731-8520.
Page 4 of 4, Revised 11/15/06
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Vendor Registration Form (South Mountain Community College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 2 September 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document