Cincinnati public schools supplier form

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Cincinnati Public Schools

Supplier Form

Please provide the following information with a completed W-9 Form:

Check one: _____ New Vendor

_____ Vendor Changes

Vendor's Name: Contact Person's Name:

Send Purchase Orders to:

Address:______________________________________

City/State/Zip:

__________________

Phone:

Fax:

Email:

________

Note: Email is required.

Send payments to:

Address:

___________________

City/State/Zip:

___________________

Phone:

Fax:

Email: _____________________________

Payment Terms:

_________________

Type of business: (You may select more than one box.) _____Women Owned _____Small Business _____Minority Owned _____Local _____Asian _____Black _____Hispanic _____Native American _____Multiracial/Other

What goods or services do you provide? _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________

Please email this supplier form to: nvendor@cps-

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