VendorVendor Registration Registration VENDOR INFORMATIONCompany Name *EIN Number *Contact Name *TitleAddress *Phone No. *Email *FaxWebsiteScope of Work *Note: For Food Vendors (1) You must Howard County Permit (2) Insurance and bond.FEE INFORMATIONFee Amount *Made Payable To *Payment Method *Kindly selectCheckMoney OrderCredit CardName on Card *Credit Card Number *Expiry Date *Security Code *CERTIFICATIONI hereby affirm that all information supplied is true and accurate to the best of my knowledge and belief, and I understand that this Information will be considered material in the evaluation of quotations, bids, and proposals. Notice must be given at any change in information provided within ten (10) days of said change.Name *TitleSignature *Choose FileNo file chosenDelete uploaded fileDateSUBMIT
