Vendor Application Form - City Of Hayward Page 2
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2VENDOR APPLICATION FORM
Address (if different from above):________________________________________________________________
Describe (warehouse, sales office, administration office, plant, etc.):____________________________________
Type of business (Circle one) Corporation Partnership Individual Government Agency
How long have you been in business? __________
Are you incorporated? (Circle one) Yes / No.
Who are the principle owners? _________________________________________________________________
Who are some of your major customers? May we contact some of them for references? Yes / No
__________________________________________________________
_____________________________________________________
1. Company Name
Contact/Title
__________________________________________________________
_____________________________________________________
Address
Phone #
__________________________________________________________
_____________________________________________________
City/State
Zip Code
Fax #
__________________________________________________________
_____________________________________________________
2. Company Name
Contact/Title
__________________________________________________________
_____________________________________________________
Address
Phone #
__________________________________________________________
_____________________________________________________
City/State
Zip Code
Fax #
__________________________________________________________
_____________________________________________________
3. Company Name
Contact/Title
__________________________________________________________
_____________________________________________________
Address
Phone #
__________________________________________________________
_____________________________________________________
City/State
Zip Code
Fax #
Signature
Title
Date
2
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Parent category: Business