REDWOODS COMMUNITY COLLEGE DISTRICT
BUSINESS OFFICE
VENDOR APPLICATION
The following information is required before an order or contract can be processed with your company
SECTION 1: Vendor Type and Federal Taxpayer Identification Number (IRS Form W-9 Requirements)
Individual/ Sole Proprietor
Social Security Number:
or
Employer ID Number:
Organization:
Organization is a corporation (except for attorney corporations)
Organization is a State, District of Columbia, US possession, or any political subdivision
Organization is a foreign government, or any of its political subdivisions
None of the above
Description:
SECTION 2: Name and Contact Information
Individual Name:
Organization Name (or Individual dba):
Mailing Address:
City, State and Zip Code:
Phone:
Fax:
E-Mail Address:
Internet Address
SECTION 3: Mailing Address for Orders (if different)
Mailing Address:
City, State and Zip Code:
SECTION 4: Mailing Address for Payments (if different)
Mailing Address:
City, State and Zip Code:
SECTION 5: Key Contact Person
Name
Phone:
SECTION 6: Vendor Return Information Instructions
After completing this form, please mail or fax to: College of the Redwoods – Purchasing
7351 Tompkins Hill Rd.
Eureka, CA. 95501
Fax: 707/476-4405
Vendor Information Requested by: CR Staff Individual Name:
Division:
Fax Number:
Revised Fall 2013