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Bidder / Vendor Information Application

2. 

3. <center> CITY OF WESTLAND <br> Purchasing Department <br> 3600 Warren Road <br>Westland, Michigan 48185 <br>Phone: (734) 467-7920 <br> Fax: (734) 422-1218 <br>Email: Purchasing@cityofwestland.com </center

   CITY OF WESTLAND
   Purchasing Department
   3600 Warren Road
   Westland, Michigan 48185
   Phone: (734) 467-7920
   Fax: (734) 422-1218
   Email: Purchasing@cityofwestland.com
5. Applicant's Information

7. Name*

9. Address*

11. City*

12. State*

13. Zip Code*

15. Phone Number*

17. Fax Number

19. Email Address*

23. Applicant's Bill To Information
    Applicant's Bill To Information If Different from Above

    Applicant's Bill To Information If Different from Above

25. Name

27. Address

29. City

30. State

31. Zip Code

33. Phone Number

35. Fax Number

37. Email Address

41. Persons' Authorized to Sign Bids, Offers & Contracts

43. Person 1

44. Person 2

46. Name

47. Name

49. Title

50. Title

52. Address

53. Address

55. City, State, Zip

56. City, State, Zip

58. Phone Number

59. ext.

60. Phone Number

61. ext.

63. Fax Number

64. Fax Number

66. Email Address

67. Email Address

71. Organization Information

73. Name of Organization*

75. Federal/State I.D. Number*

77. Give a brief description of commodities and services offered:

79. Type of Organization

    1. Individual

    1. Corporation

    1. Non-Profit

    1. Partnership

81. Attach any relevant documents and W-9

Leave This Blank:


83. 1. Receive an email copy of this form.
84. Email address

    This field is not part of the form submission.

85. Submit

* indicates a required field