5-Contact Information.pdf

321 KB Posted

Attached to
PD Skiff Boat
Solicitation number
ITB No. 2026-008
Issued by
Palm Beach County, Florida

About this file

Written by GovTribe AI ·

This document is a blank 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 potential contractors to provide comprehensive company and contact details across four distinct sections: Company Information, Contact Information, Purchase Orders, and Accounts Receivable. The form requests vendors to fill in details such as company name, physical and mailing addresses, owner information, primary and alternate contact details, emergency contact information, and specific points of contact for purchase orders and accounts receivable.

The form appears to be a standard procurement document used by the Town of Palm Beach to collect and maintain vendor contact information, likely for use in future purchasing, bidding, or contract management processes. While the document is currently blank, it provides a structured template for vendors to submit their comprehensive contact and company information, which would enable the municipality to efficiently communicate, issue purchase orders, and manage financial transactions with potential contractors or suppliers.

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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 .