Vendor Registration Vendor Registration Form Step 1 of 2 50% FacebookThis field is for validation purposes and should be left unchanged.Vendor RegistrationBusiness Name(Required)Name(Required) First Last Title(Required)Phone(Required)Email(Required) Enter Email Confirm Email Business Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Business Website(Required) Business Services Type and Commodity CodesBusiness (Organization) Type:(Required)Please select…Individual/Sole Proprietor or Single-Member LLCC CorporationS CorporationLimited Liability CompanyLimited PartnershipGeneral PartnershipLimited Liability PartnershipTrust/EstateGovernment AgencyOther: (please specify)Business (Organization) Type Other:(Required)Registered in CA for Sales Tax:(Required) Yes No Description of Business Products or Services:(Required)Please select…Administrative and Support ServicesAgricultural Supplies and ServicesArchitectural ServicesArts, Entertainment and Recreation ServicesCatering ServicesComputer Related Hardware and SoftwareConstruction Project Management ServicesConstruction Repair/Maintenance ServicesContractor ConcreteContractor ElectricalContractor ElevatorsContractor FlooringContractor GeneralContractor HVACContractor LandscapingContractor PavingContractor PlumbingContractor RoofingContractor SiteworkContractor SteelEducational Services and SuppliesEngineering ServicesEnvironmental ServicesEvents ServicesFinance/Accounting ServicesFinancial ServicesFood Products and ServicesGeological ServicesInsurance ServicesInterior Design ServicesJanitorial ServicesLand Surveying ServicesLandscaping ServicesLegal ServicesMaintenance Products and Related ServicesManufacturing ServicesOffice Equipment and SuppliesPrinting ServicesPublishing ServicesReal Estate ServicesRental and LeasingRepair/MaintenanceScientific Equipment and SuppliesSoftware/ITTransportation ServicesTravel ServicesUtilitiesWaste Management and Remediation ServicesOther Services: (please specify)Description of Business Products or Services Other:(Required) NAICS Commodity Code – Business Type(Required)UNSPSC Commodity Code – Business TypeDiversity in Business Type: Small Business Disabled Veteran Business Minority Business Woman-Owned Business Other Business Type: (please specify) Diversity in Business Type Other:Contractor License Number
