Vendor Registration

Use the form below to register as a Vendor with the City of Palo Alto.

Last Updated: Mar 5, 2012

Vendor Registration Form

* Type of Registration

* Business Name

* Business Address

* Business Address 2

* Business City

* Business State

* Zip Code of Business

* Business Phone

Business Phone Extension

Business Fax

Standard Invoice Terms

How Long in Present Business (Months)

Type of Business

Names of Officers, Members, or Owners of Business

California Contractors License Classification(s)

Contractors License Number(s)

License Expiration Date(s)

Classes of equipment, supplies, material, and/or services which you desire to bid:

References (Other Public Agencies with whom you do business):

* Bid Contact First Name

* Bid Contact Last Name

* Bid Contact Phone

Phone Extension

Bid Contact Cell Phone

* Bid Contact Email

Bid Contact Additional Notes

* Requestor First Name

* Requestor Last Name

* Requestor Phone Number

Phone Extension

Requestor Cell Phone

* Requestor Email

Requestor's Notes or Additional Comments

* Validation

Please enter the word above in the space below