Onvia Supplier Services 866-276-2728 (fax) supplierservices@onvia.com Hours: 9 a.m. to 7 p.m. ET, M-F 509 Olive Way, Suite 400, Seattle, WA 98101 Federal ID # 91-185-9172 ONVIA DEMANDSTAR SELECT REGISTRATION FORM To Complete your DemandStar Registration or Upgrade of Subscription: 1) Fill out the form below. 2) Fax completed form with credit card information to (866) 276-2728 or email to demandstar@onvia.com. 3) A Registration Confirmation will be emailed to you within 2 business days after account setup is complete. 4) Login to your Demandstar account to review the commodity codes selected for your account and make changes as appropriate. Your automatic notifications will be based on these commodity codes. 1) NOTIFICATION OPTIONS/SETTINGS: Company Name (required): _______________________________________________________________________________________ Contact Person (required): __________________________________ Title/Position: _______________________________________ Mailing Address (required): _____________________________ City: _____________________ State: ________ Zip: ___________ E-mail Address(required): ________________________________________________________________________________________ Phone Number (required): _______________________________ Fax Number (optional): ___________________________________ Time Zone: _____________________ 2) NOTIFICATION SETTINGS/COMMODITY CODES: List the goods and/or services your company offers so that we may select initial commodity codes for you. (Be as thorough as possible. Do not use brand names or abbreviations.) Examples: “pipeline construction,” “bridge resurfacing,” “roofing,” “file folders,” “community development consulting,” “food distribution services,” etc. _______________________ ___________________________ ____________________________ _________________________ ______________________ ___________________________ ____________________________ _________________________ 3) SELECT AN AGENCY: Select 4 – 8 DemandStar counties you would like to subscribe to by checking the appropriate boxes on pages 2-5. Onvia DemandStar counties cover the agencies listed. THIS SUBSCRIPTION OPTION DOES NOT COVER ALL AGENCIES WITHIN THE SELECTED COUNTIES. IT WILL ONLY COVER THE DEMANDSTAR AGENCIES LISTED WITHIN THE COUNTY. For information regarding Statewide, Multi-state or Nationwide services, please contact an Onvia representative at 1.800.575.1736. Minimum subscription of 4 Counties is $100 per year and each additional County is $25 per year with a maximum subscription of 8 Counties. Once your registration is complete, a Registration Confirmation will be e-mailed to you. Please review all your information and commodity codes. 4) Credit Card Information: Credit Card Type: American Express Visa MasterCard Credit Card Number: ____________________________________________________ Name as it appears on card: Billing Address: Street: _____________________________________________ City: State: ______________________ Zip Code: ______________________ Signature: Date: Exp Date: Discover Fax this form to (866) 276-2728 or email to demandstar@onvia.com Page 2 Available Agencies San Diego County City of San Diego San Diego Housing Commission San Diego Unified School District Sweetwater Union High School District Broward County Broward College Broward County Housing Authority City of Cooper City City of Dania Beach City of Hallandale Beach City of Hollywood - Community Redevelopment Agency City of Hollywood – Department of Public Services City of Hollywood - Office of Budget and Procurement Services City of Lauderdale Lakes City of Lauderhill City of Lighthouse Point City of Miami Gardens City of Miramar City of Oakland Park City of Parkland City of Plantation – Purchasing City of Sunrise City of Weston City of West Park South Broward Drainage District The School Board of Broward County, FL - Facilities and Construction Management Division The School Board of Broward County, FL - Supply Management and Logistics Department Town of Lauderdale-By-The-Sea Town of Southwest Ranches Santa Clara County City of Sunnyvale Cupertino Union School District Citrus County Citrus County - Board of County Commissioners ALASKA Juneau Borough County City and Borough of Juneau Matanuska-Susitna County City of Wasilla ARIZONA Coconino County Coconino County Mojave County City of Bullhead City Lake Havasu City - Finance-Budgeting Division Lake Havasu City - Public Works Department Yavapai County Town of Prescott Valley CALIFORNIA Alameda County Zone 7 Water Agency Oakland Housing Authority Los Angeles County City of Redondo Beach COLORADO Adams County City of Westminster - Purchasing CONNECTICUT Hartford County Town of Windsor FLORIDA Alachua County Alachua County - Purchasing Division Alachua County Library District Purchasing Department City of Gainesville - Purchasing Department Baker County Baker County – Board Commissioners Bay County Bay County – Board of County Commissioners Brevard County Brevard County - Purchasing Services Brevard County Sheriff’s Office City of Cocoa City of Melbourne City of Melbourne Airport Authority City of Palm Bay City of Titusville School Board of Brevard County Space Florida Collier County City of Marco Island – Purchasing and Contracts City of Naples - Purchasing Division Collier County Clerk of Circuit Court District School Board of Collier County Columbia County City of Lake City - Purchasing Department DeSoto County DeSoto County - Purchasing Department The School District of DeSoto County Duval County Duval County Public Schools Facilities, Planning & Construction Duval County Public Schools Purchasing Services Escambia County City of Pensacola Escambia County School District Flagler County City of Bunnell Flagler County - Board of County Commissioners Gadsden County City of Gretna Hardee County Hardee County – Purchasing Department Hernando County Southwest Florida Water Management District Hillsborough County Children’s Board of Hillsborough County City of Plant City City of Tampa - Purchasing Department City of Tampa - Contract Administration Department City of Temple Terrace Hillsborough County - Board of County Commissioners Tampa Port Authority Tampa-Hillsborough Expressway Authority Hillsborough County Public Schools Indian River County City of Sebastian City of Vero Beach - Purchasing Division Indian River County - Division of Purchasing Lake County City of Eustis - Purchasing Department City of Mount Dora - Purchasing Department City of Tavares Town of Lady Lake Lee County City of Cape Coral Town of Fort Myers Beach Leon County City of Tallahassee Leon County - Purchasing Division Leon County School District Purchasing Department Manatee County Manatee County Port Authority Manatee County – Purchasing Department Town of Longboat Key - Purchasing Division Marion County College of Central Florida Marion County - Purchasing Department Martin County City of Stuart - Purchasing Division Martin County - Purchasing Division The School Board of Martin County Miami-Dade County City of Aventura City of Doral City of Florida City City of Homestead City of Miami Springs City of North Bay Village City of North Miami - Purchasing Department City of North Miami Beach City of Opa-locka City of South Miami City of Sunny Isles Beach Miami-Dade County Public Schools Town of Golden Beach Town of Surfside Village of Key Biscayne Village of Pinecrest Monroe County Fax this form to (866) 276-2728 or email to demandstar@onvia.com City of Key West City of Marathon Florida Keys Aqueduct Authority Florida Keys Mosquito Control District Islamorada, Village of Islands Key Largo Wastewater Treatment District Monroe County – Purchasing Department Monroe County School District Utility Board of the City of Key West Nassau County City of Fernandina Beach, FL Nassau County - Board of County Commissioners Orange County City of Ocoee City of Apopka City of Apopka - Public Services Department Florida Virtual School Greater Orlando Aviation Authority Concessions Department Orange County Public Schools Orlando Housing Authority Town of Windermere Osceola County City of Kissimmee - Purchasing Division City of St. Cloud Kissimmee Utility Authority Purchasing Department Osceola County - Procurement Services Toho Water Authority - Engineering Department Toho Water Authority - Purchasing Office Palm Beach County City of Boynton Beach City of Delray Beach City of Lake Worth City of Palm Beach Gardens City of Riviera Beach Health Care District of Palm Beach County School District of Palm Beach County Seacoast Utility Authority South Central Regional Wastewater Treatment & Disposal Board Town of Highland Beach Town of Jupiter Town of Lake Park Town of Palm Beach Village of North Palm Beach Village of Wellington Pasco County City of New Port Richey City of Zephyrhills District School Board of Pasco County - Purchasing Department Pinellas County City of Dunedin City of Oldsmar City of St. Pete Beach City of St. Petersburg City of Tarpon Springs Juvenile Welfare Board of Pinellas County Pinellas County - Board of County Commissioners Pinellas Suncoast Transit Authority Tampa Bay Water Town of Belleair Polk County City of Haines City City of Lake Wales City of Polk City Lakeland Area Mass Transit District d/b/a The Citrus Connection Putnam County City of Crescent City City of Palatka St. Johns River Water Management District St. Johns County City of St. Augustine City of St. Augustine Beach Florida School for the Deaf and Blind St. Augustine-St. Johns County Airport Authority St. Johns County - Purchasing Department St. Johns County School District St. Johns County VCB The Florida School for the Deaf and the Blind St. Lucie County City of Fort Pierce - Purchasing Department City of Port St. Lucie - Office of Management & Budget Fort Pierce Utilities Authority St. Lucie County Fire District St. Lucie County - Purchasing Department The School District of St. Lucie County - Purchasing Department Sarasota County City of North Port City of Sarasota - Purchasing Division City of Venice, FL Sarasota County - Procurement Sarasota Manatee Airport Authority The School Board of Sarasota County, Florida Seminole County City of Casselberry City of Lake Mary - Purchasing Department City of Longwood - Purchasing Division City of Oviedo - Purchasing Division City of Winter Springs - Purchasing Department Seminole County Public Schools Sumter County Sumter County - Board of County Commissioners Village Community Development Districts Suwanee County Suwanee County BOCC Volusia County City of DeLand City of Deltona - Purchasing and Building Services City of Edgewater City of New Smyrna Beach City of New Smyrna Beach –Utilities Commission City of Orange City City of Ormond Beach - Purchasing Office Page 3 City of Port Orange - Finance Department GEORGIA Dekalb County Dekalb County School District Habersham County Habersham County - Board of Commissioners Muscogee County Columbus Consolidated Government Richmond County City of Augusta, GA (Augusta Commission) IDAHO Ada County City of Boise Joint School District No. 2 Twin Falls County City of Twin Falls ILLINOIS Cook County City of Evanston Village of Oak Park Village of Winnetka DuPage County City of Naperville - Procurement Services Office City of Wheaton DuPage County - Procurement Services DuPage County Health Department Forest Preserve District of DuPage County Village of Downers Grove Village of Lisle Lake County Village of Gurnee McHenry County City of Crystal Lake, IL Will County City of Naperville - Procurement Services Office Will County Government Winnebago County Rockford Park District Rockford Public School District #205 Rockford Housing Authority INDIANA Allen County Allen County - Purchasing Department KANSAS Douglas County City of Lawrence Douglas County, KS Johnson County Johnson County, KS - Purchasing Division Water District No.1 of Johnson County Miami County Miami County, KS - Purchasing and Contract Services Fax this form to (866) 276-2728 or email to demandstar@onvia.com Wyandotte County KC Board of Public Utilities KENTUCKY Jefferson County Louisville Metro Government - Division of Purchasing MARYLAND Worcester County Town of Berlin MICHIGAN Genesee County Hurley Medical Center Wayne County Detroit Public Schools - Department of Contracting and Procurement MINNESOTA Ramsey County Ramsey County (Contract and Analysis Services) St. Louis County St. Louis County, MN - Purchasing Department MISSOURI Cass County City of Peculiar City of Raymore Clay County Clay County, MO - Purchasing Department Christian County City of Nixa Green County City of Springfield, MO - Purchasing Division Greene County Purchasing Department Jackson County City of Kansas City, MO City of Raytown Hickman Mills C-1 School District Little Blue Valley Sewer District Mid-America Regional Council (MARC) - Kansas City Regional Purchasing Cooperative Taney County City of Branson NEVADA Clark County City of Henderson City of Las Vegas City of North Las Vegas – Engineering Services City of North Las Vegas - Purchasing and Risk Management Clark County School District Purchasing/Warehousing Department Clark County Water Reclamation District Henderson District Public Libraries Las Vegas Metropolitan Police Department Southern Nevada Health District Washoe County City of Sparks Truckee Meadows Fire Protection District Washoe County - Purchasing Washoe County School District Purchasing Department Page 4 Comal County New Braunfels Utilities - Purchasing and Material Management Coryell County City of Copperas Cove Catawba County Catawba County Dallas County City of Carrollton City of Cedar Hill City of Lancaster Richardson Independent School District Mecklenburg County Charlotte Housing Authority Ellis County City of Midlothian Pitt County City of Greenville Fort Bend County City of Missouri City - Purchasing NORTH CAROLINA OHIO Butler County City of Hamilton Clark County City of Springfield, OH - Purchasing Division Clermont County Clermont County - Board of Commissioners Hamilton County City of Cincinnati - Purchasing Division Hamilton County Park District Trumbull County Trumbull County, OH OKLAHOMA Oklahoma County City of Del City, OK Oklahoma City - County Health Department Oklahoma County - Central Purchasing Department OREGON Multnomah County City of Gresham – Purchasing office PENNSYLVANIA Bucks County Bucks County Free Library SOUTH CAROLINA Lexington County County of Lexington - Procurement Services Spartanburg County City of Spartanburg TEXAS Bell County City of Killeen City of Temple Bowie County City of Texarkana Bexar County City of San Antonio - Purchasing and General Services San Antonio Water System Collin County City of Frisco City of McKinney Harris County City of Pasadena San Jacinto Community College District Johnson County City of Cleburne McLennan County City of Waco Midland County Midland Independent School District Tarrant County City of Arlington City of Hurst - Finance Department City of Watauga Tarrant County Regional Water District Travis County Capital Metropolitan Transportation Authority Texas Association of Community Colleges VIRGINIA Chesapeake City Area Chesapeake Public Schools Purchasing Department City of Chesapeake Southeastern Public Service Authority - Purchasing Office Newport News City Area City of Newport News – Office of Purchasing Newport News Public Schools The George Washington University Norfolk City Area City of Norfolk - Department of Public Works City of Norfolk - Department of Utilities City of Norfolk - Office of the Purchasing Agent Portsmouth City Area City of Portsmouth - Purchasing Department Hampton Roads Regional Jail Authority Portsmouth Public Schools Purchasing Department Suffolk City Area City of Suffolk Virginia Beach City Area City of Virginia Beach - Purchasing Division Virginia Beach City Public Schools Purchasing Services Fax this form to (866) 276-2728 or email to demandstar@onvia.com WISCONSIN Brown County Brown County - Purchasing City of Green Bay Northeast Wisconsin Technical College Dane County City of Fitchburg City of Madison - Purchasing Services Madison Area Technical College Douglas County City of Superior Eau Claire County Chippewa Valley Technical College City of Eau Claire Eau Claire Area School District Eau Claire County - Purchasing Department City of Altoona Fond du Lac Moraine Park Technical College La Crosse County Western Technical College Marathon County Northcentral Technical College Milwaukee County Milwaukee County Transit System Milwaukee Area Technical College Oneida County Nicolet Area Technical College Outagamie County Fox Valley Technical College Rock County Blackhawk Technical College Page 5 Sauk County Sauk County - Administration Walworth County Walworth County - Purchasing Winnebago County Winnebago County - Purchasing Department WTCS Purchasing Consortium