ABOUT SINCLAIR

VENDOR REGISTRATION FORM

Completion of this Vendor Registration Form ensures that your company will be registered with the College. It does not guarantee that you will be contacted for all purchases needing a quotation or bid.

1. FEDERAL TAX ID OR SSN No.:
 
Check one: Individual     Partnership     Corporation
Please check one:
Minority Firm certified by the State of Ohio Section 1250RC
Female owned or economically disadvantaged
Small business IAW Section 3 of Small Business Act
Other
 
2. ORDER AND INQUIRY MAILING ADDRESS:
  Company:
  Address:   
  City: State:  
  Zip: Country:
  Contact Person:
  Email Address:   
  Phone: Toll Free:
  Fax:  
  Web site (if applicable):
  Please indicate if your catalogs are available on multi-media format:  
  Yes     No
  Shipping Terms:
 
3. REMITTANCE MAILING ADDRESS (if different from above):
  Name:
  Address:
  City: State: Zip:
  Contact Person:
  Phone: Toll Free:
  Fax:
  Payment Terms:
 
4. TYPE OF ORGANIZATION:  
  Choose one of the following which best describes your firm:
  Manufacturer      Wholesale/Distributor     Broker     Retailer
Services Only     Non-Profit Institution      Manufacturers Representative
 
5. REFERENCES (list names, addresses and phone #'s
  a.
  b.
  c.
 
6. COMPANY OFFICIALS (identify the three highest officers of this company or division):
  a.
  b.
  c.
 
7. COMMODITIES/SERVICES YOUR COMANY IS INTERESTED IN SUPPLYING:
   (you are encouraged to forward a line card, sales brochures etc with this application)
  a. - If none enter NONE
  b. - If none enter NONE
  c. - If none enter NONE
 
8. PLEASE PROVIDE ANY ADDITIONAL INFORMATION YOU DESIRE:
 
 
9. NAME OF PERSON COMPLETING THIS APPLICATION:
 

Name:

 
 
 
Human Validation

Please type the letters as you see them in the image above. The letters are case sensitive
 


Did You Know?
Sinclair has established more than 100 transfer agreements to assist students in transferring to other colleges.
Sinclair is the largest regional provider of online education, with more than 180 different online courses.
Sinclair offers the lowest tuition rate in Ohio.
Sinclair's student/faculty ratio of 19 to 1, among the lowest at Ohio's colleges, allows students to receive more individual attention.

Learning Centers: Englewood | Huber Heights | Preble County
Courseview Campus Center | Online Learning | Wright-Patterson AFB
444 West Third Street, Dayton, Ohio 45402 | 1.800.315.3000
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