Vendor Registration Form

Please fill out the form completely and allow up to two weeks for processing

Name of Company
Address
City
State
Zip
Contact Person
Contact Title
Phone Number (w/Area Code)
Fax Number
Email Address

Remit To (if different from PO)

Name of Company:
Address:
City:
State:
Zip:
Contact Person:
Contact Title:
Phone Number (w/Area Code):
Fax Number:
Email Address:
TYPE OF OPERATION (CHECK ALL THAT APPLY):
     
     
    
Other (Please Specify Below)

* REQUIRED FOR DISADVANTAGED BUSINESS ENTERPRISE REGISTRATIONS

DBE CERTIFICATION AUTHORITY
DBE CLASS CODES
NAICS Codes

 

THE SOUTHWEST OHIO REGIONAL TRANSIT AUTHORITY RESERVES THE RIGHT TO REQUEST INFORMATION CONCERNING, BUT NOT LIMITED TO, FINANCIAL STATUS OF VENDOR, BUSINESS REFERENCES, OR PROOF OF CERTIFICATION. IF YOU DO NOT RESPOND TO ENQUIRIES FOR THE ABOVE REQUESTED INFORMATION, YOUR NAME MAY BE REMOVED FROM SORTA’S APPROVED VENDOR LIST.

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