MidPointe Library System Vendor Application
Business Name
Contact Name
First Name
Last Name
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Website Link (if applicable)
Select the goods and/or services your company supplies. (Check ALL that apply.)
Insurance
Banking
Utilities
Facilities/Property Maintenance & Repair (janitorial, landscaping, capital projects)
Supplies
Information/Technology (hardware, software, storage, security, web services, network, security, wi-fi)
Printing/Advertising
Programming (all ages)
Library Materials
Food/Beverage Truck
Other
Please attach your W-9:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
If you are responding to a specific proposal, upload it here:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: