Vendor Registration

Jobs

(312) 742-PLAY (7529)
TTY: (312) 747-2001
541 N. Fairbanks
Chicago, IL 60611

Company Name:
Federal Tax Id:
Address 1:
Address 2 (optional):
City:
State/Province:
Zip Code:
Contact Name:
Contact Title:
Company Email:
Company Phone:
Company Fax (optional):
Company Cell (optional):
Accepts Purchase Orders?	YesNo
Years In Business:
Organization Type:
State/Province Where Organized:
Minority Business Enterprise (MBE) / Women Business Enterprise (WBE) Please provide the following information.
Is MBE?	YesNo
Minority Status:	African American Asian Hispanic Other Other:
Certifying Agency:	City CMS CMSDC Cook County SBA Other Other:
Is WBE?	YesNo
Certifying Agency:	City CMS Cook County SBA WBDC Other Other:
Persons of Concern Authorized to Sign Bids and Contracts In Your Name Please provide the following information.
Authorized Person 1:		Title:
Authorized Person 2 (optional):		Title:
Authorized Person 3 (optional):		Title:
Commodity and Service List Please identify the services and/or commodities that you or your company provide.
Industry:	Architectural Services Information Technology Printing Services Construction Landscape Services Transportation Engineering Services Other
Account Access Please enter the password you would like to use in order to access the system.
Password:
Confirm Password:
Receive Notification?	YesNo