Preferred Vendor Application Preferred Vendor Program Application "*" indicates required fields Vendor InformationLegal Name of Business* DBA Federal Tax ID* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Company Website* Years in Business*Type of Business* Corporation S-Corp LLC Partnership Proprietorship Nonprofit Municipal Contact Name* First Last Title* Email* Phone*Transaction DetailsAverage Transaction Size Minimum Size Maximum Size Sales and Lease InformationAnnual Sales Volume Sales Transactions per month Lease Sales Volume Lease Transactions per month Typical Customer ProfileType of Business Years in Business End of Lease Options Percentage$1.00 BOs PUTs Options FMVs Additional Notes or Special Requirements*Detailed Vendor Information if different from aboveHeadquarters Branches D&B Rating D&B Paydex Score Annual Revenue Total Assets Net Income Net Worth Number of Employees Number of Sales Reps Methods of Advertising Signature*Print Name* First Last Title* Δ UPLOAD DOCUMENTS
