5-Contact Information.pdf

PDF 321 KB Posted

Attached to
PD Boat Engine State and local contract opportunity
Solicitation number
ITB No. 2026-002
Issued by
Palm Beach County, Florida

About this file

The document is a Contact Information Form from the Town of Palm Beach Purchasing Division, located at 951 Okeechobee Rd., West Palm Beach, FL 33401. The form is designed for vendors or contractors to provide comprehensive company and contact details to the municipality. It includes four distinct sections: Company Information, Contact Information, Purchase Orders, and Accounts Receivable, with blank fields for companies to fill out their specific organizational and communication details.

The form seeks detailed information including company name, physical and mailing addresses, owner names, primary and alternate contact information, emergency contact details, purchase order contact, and accounts receivable contact. The document's purpose appears to be establishing a standardized method for vendors to submit their business and communication information to the Town of Palm Beach's Purchasing Division, with contact methods including phone (561-838-5406), fax (561-835-4688), and website (www.townofpalmbeach.com). The form allows for multiple points of contact and communication channels to be documented for each vendor or potential contractor.

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Text version

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 .