Click2GovPI


New Account Registration

A company name can only be used once. If there are multiple companies with the same name, please use your store's identification number to differentiate it from the others.
BUSINESS NAME AND MAILING ADDRESS FOR BID SOLICITATIONS
Have you ever done business with this city before?
* Company Name:

* Mailing Address:

* City:
* State:
* Zip:
* Contact Name:
* Phone Number:	( )
Fax Number:	( )
* Email Address:
Tax ID Designator:	Federal Tax ID
	Social Security #
Tax ID:

MAILING ADDRESS FOR PAYMENTS
Same as address above
Mailing Address:

City:
State:
Zip:

TAX INFORMATION
Type:	Individual Business
1099?:	(Check if you receive a 1099)
Minority Status:

COMPANY PROFILE INFORMATION
# of Employees:
Contact DOB:	, yyyy



* Denotes a required field