Bidder/vendor Application Form - Metro Government Of Nashville & Davidson County
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1
2METROPOLITAN GOVERNMENT OF NASHVILLE &
DAVIDSON COUNTY, TENNESSEE
BIDDER/VENDOR APPLICATION
PLEASE TYPE OR PRINT See Appendix I – Information and Instructions for details on completing this form.
MAIL OR FAX THIS APPLICATION TO:
METRO GOVERNMENT OF NASHVILLE & DAVIDSON COUNTY
DEPARTMENT OF FINANCE/DIVISION OF PURCHASES
222 THIRD AVENUE NORTH, SUITE 601
NASHVILLE, TENNESSEE 37201
FAX: (615) 862-6179
CHECK ONE:
Initial application __
Revision __
1) BIDDER/VENDOR INFORMATION
(Address where purchase orders, correspondence, etc., are to be mailed)
BUSINESS NAME
____________________________________________
MAILING ADDRESS
____________________________________________
____________________________________________
CITY
____________________________
STATE
_____________
ZIP CODE
_______________ __________
PHONE
______ _______ ____________
FAX
______ _______ ____________
E-MAIL
_________________________
Vendor Number Assigned (for Metro use only)
COUNTY
_________________________________
_________________________
REMITTANCE ADDRESS (If different)
____________________________________________
____________________________________________
CITY
____________________________
STATE
_____________
ZIP CODE
_______________ __________
Remit Number Assigned (for Metro use only)
_________________________
2) TAX INFORMATION
LEGAL NAME ON TAX RETURN FOR IRS ______________________________________________________________________________
TYPE OF TAXPAYER (Select one code and fill in ID# information)
__ C - Corporation (Except Medical)
Federal ID #
___________________________________________
__ N - Non-Corporation Entity (Partnership), Not-for-profit Organization
Federal ID #
___________________________________________
__ N - Medical Corporation
Federal ID #
___________________________________________
__ P - Individual or Sole Proprietor
Social Security #
___________________________________________
__ B - Government Agency
Federal ID #
___________________________________________
PAYMENT TERMS
_____________________________________________
3) TYPE OF BUSINESS
(Use the codes listed in Appendix I – Information and Instructions)
INDUSTRY CLASS
____________________________
TYPE OF OWNERSHIP
____________________________
NUMBER OF EMPLOYEES
____________________________
GROSS ANNUAL SALES
____________________________
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