CVS SCHOOLS
 
Saturday, July 20, 2019
Interested vendors shall complete all required fields below in order to register for bid opportunities and download bidding documents for Chippewa Valley Schools. After submitting your information you will be required to select classifications of the type of products and services you provide. You will not receive bid notifications without being assigned to a product or service.
* Required

Legal Company Name *
Federal (Tax) ID Number *
Company Operating Name, if different
Download W9 Form Please complete on-line then print, sign and fax the W-9 form to the Chippewa Valley Schools’ Business office, 586-723-2128 (we will not accept a handwritten W-9).
Type of Company: *
State of Incorporation
Year of Incorporation

List the Type of Company if Other was Chosen
Type of Business *
Manufacturer   Wholesaler   Retailer   Distributor   Service   Construction Contractor   
List any Former Company Names (Separate by commas)
List any and all Affiliated Company Names (Separate by commas)

List Names of Company Officers and Owners *
Hit Enter key after each name

Familial Disclosure: Vendor shall be responsible for listing any shareholder/officer/owner and/or employee that has a familial relationship with any Chippewa Valley School employee or Board of Education member
LIST ANY SUCH RELATIONSHIP IN THIS AREA. If no such relationships exist, please enter “N/A” in this field.

Address to mail Purchase Order and Bids to
Address*
City*
State*
Zip*
Contact Person for Pricing and Bids*
Telephone Number*
Ext
Add Fax Number
Cellular Number
Accounts Receivable (Remit-to) Address *
Address*
City*
State*
Zip*
Contact Person*
Telephone Number*
Ext
Fax Number

E-mail *
Website
Password *
Password Confirmation *

Is business at least 51% Minority Owned? Yes No
If yes, enter Certificate Number
Agency

Customer References, prefer school districts
Company
Name
Phone Number
Company
Name
Phone Number
Company
Name
Phone Number

Check this box to certify that you are a representative of the company authorized to complete this form.  You hereby certify that the information contained is correct.  You understand that any misrepresentation of a material fact could cause cancellation by Chippewa Valley Schools of any resulting contract.

 

Chippewa Valley Schools
19120 Cass Avenue, Clinton Township, Michigan 48038 (586) 723-2000