Vendor Registration

Please completely fill out the following form to be included in our vendor list. Upon submission, a confirmation email message will be sent with instructions on how to setup an account. This optional account setup will allow you to keep your registration information up-to-date.

Note: Due to the large number of suppliers the Purchasing Department deals with, submitting a Registration form does not guarantee a vendor will be notified every time a quotation or bid is available. Vendors should routinely check for opportunities on our current open bids listing.

Company Information

Company Name (required)

Street Address (required)

City (required)

State (required)

Zip Code (required)

Website Address

Type of Organization: (required)

Individual / Sole Proprietor

Corporation / Incorporated

Partnership

Other

Enter "Other" Organization Type

Does an employee or officer of the Ventura County Community College District own, partly own, operate or have a financial interest in this company? (required)

Yes

Provide the name of the Ventura County CCD employee or officer

DIR Registration #

Contractor's License #

Commodities (required)

Multiple Selections are allowed. For "Other" category, enter details below in the comments field.

Comments

Contact Information

Email Address (required)

First Name (required)

Last Name (required)

Contact Address

Same As Above

Street Address

City

State

Zip Code

Phone #

Fax #

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