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City of Cordova Vendor Qualification Form
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* Indicates required question
City Seal
Date:
*
MM
/
DD
/
YYYY
Vendor Name:
*
Your answer
Address
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip Code:
*
Your answer
Phone Number:
*
Your answer
Email:
*
Your answer
Tax ID Number:
*
Your answer
ISO9000 Registered:
*
Your answer
Contractor License Number (if applicable) (Required if service provider for contracts over $50,000):
Your answer
D & B Number:
*
Your answer
Cordova Business License (Required if performing work or delivering goods with your company vehicles within the city limits):
Your answer
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