5-Contact Information.pdf

321 KB Posted

Attached to
Champion Regular Duty Tennis Balls
Solicitation number
RFB No. 2025-032
Issued by
Palm Beach County, Florida

About this file

Written by GovTribe AI ·

The document is a Contact Information Form from the Town of Palm Beach's Purchasing Division, located at 951 Okeechobee Rd., West Palm Beach, FL 33401. The form is designed for vendors or potential contractors to provide comprehensive company and contact details to the municipality. It contains four distinct sections: Company Information, Contact Information, Purchase Orders, and Accounts Receivable, which collectively request comprehensive business and communication data.

The form seeks detailed information including company name, physical and mailing addresses, ownership details, primary and alternate contact information, emergency contact details, and specific contacts for purchase orders and accounts receivable. The form appears to be a standard vendor registration or qualification document used by the Town of Palm Beach to maintain a current and organized database of businesses that may provide goods or services to the municipal government. Contact methods include phone, fax, email, and web information, allowing multiple communication channels for different business functions.

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Please Take a Moment to Provide the following Company Information

Contact Information Form Purchasing Division 951 Okeechobee Rd.

West Palm Beach, FL 33401 Phone: 561-838-5406 Fax: 561-835-4688 Web: www.townofpalmbeach.com

Part 1 | Company Information

State: Zip:

Company Name:

DBA Name (If Applicable):

Physical Address (No P.O. Boxes):

Mailing Address (If Di�erent than Above):

City:

Owner’s Name(s):

Part 2 | Contact Information

O�ce Fax:

Alternate Contact:

Alternate Phone:

Web Site:

Alternate Email :

Part 3 | Purchase Orders

Contact for Issuing Purchase Orders:

Contact Phone:

Contact Email:

TOWN OF PALM BEACH

Alternate Contact Cell Phone:

Primary Contact:

Primary Contact Phone:

Primary Contact Cell Phone:

Primary Contact Email:

Emergency After Hours Contact:

Emergency After Hours Phone:

Emergency After Hours Email:

Part 4 | Accounts Receivable

Accounts Receivable Contact:

Contact Phone:

Contact Email:

TOWN OF PALM BEACH - Contact Information Form

Company Name:
DBA:
Physical Address:
Mailing Address:
City:
State:
Zip:
Owner's Name:
Main Phone:
Fax:
Website:
Main Contact:
Main Contact Phone:
Main Contact Cell:
Main Contact Email:
Emergency After Hours Contact:
Emergency After Hours Phone:
Alternate Contact:
Alternate Phone:
Alternate Cell Phone:
Alternate Email:
Emergency After Hours Email:
CONTACT FOR PURCHASE ORDERS:
Agents Name:
Agents Phone:
A/R Contact:
A/R PHONE:
A/R EMAIL:

File details come from the government source that posted it. Updated .