201 E. Windsor Street Monroe NC 28112 | (704) 282-4511

Vendor Application-Internal

INTERNAL VENDOR APPLICATION FORM

Purchasing Division

City of Monroe

PO Box 69

Monroe, NC 28111-0069

Phone: (704) 282-4603

FAX: (704) 283-6492

[Filling out this form will not register your company

on the ENI portal.]

(This form will only add your company to the

City of Monroe’s internal vendor listing.)

 

All fields are required to process your request.

New Vendor

Change of Information

Contact Information:

Company Name:
Order Address:
City:
State:
ZIP:
Contact Name:
Email address:
Phone:
FAX:
Year Established:

Please list the type of products and/or services that your company can provide.

This firm certifies that it is a : (If applicable)

Disabled

Minority Business Enterprise

Women Business Enterprise

None of the above

To qualify for MWBE status, 51% of the company must be owned and controlled by minority groups or women. For the purpose of this definition, minority group members are Black Americans, Hispanic Americans, American Indians and/or American Women. To qualify for Disabled status, 51% of the company must be owned and controlled by disabled persons.

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