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Vendor Registration Form

Please fill out the following form and submit it to our database. Once your information has been reviewed, you may be contacted by City Staff.
General
Company Name:
Physical Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Payment
1.Payment terms:
primary:
secondary:
2. The City is subject to LA County sales tax (9.75%). Is sales tax reflected on your invoices?
3.Do you accept creditcard for payment?
4. Accounts Receivable
contact:
phone:
Sales
1. Do you have minimum order requirements? (please explain)
2. Sales Contact
name:
phone:
Other
1. Are you DBE (Disadvantaged Business Enterprise)?
2. Additional information for our database: (400 character limit)
Primary Products and Services provided (check all that apply)
















Other