5-Contractor Info Form.pdf
PDF 285 KB Posted
- Attached to
- Elevator Maintenance and Inspection
- Solicitation number
- ITB No. 2025-030
- Issued by
- Palm Beach County, Florida
About this file
This document is a Contact Information Form from the Town of Palm Beach Purchasing Division, located in West Palm Beach, Florida. The form is designed for potential vendors or contractors to provide comprehensive company and contact details across four primary sections: Company Information, Contact Information, Purchase Orders, and Accounts Receivable. The form requests businesses to input their basic company details, including physical and mailing addresses, owner names, primary and alternate contact information, emergency contact details, and specific contacts for purchase orders and accounts receivable.
The form serves an administrative purpose for the Town of Palm Beach's procurement process, enabling the municipality to maintain a standardized database of vendor information. While the document does not outline a specific procurement opportunity or project, it represents a standard template used to collect essential vendor information for future purchasing, contracting, or bidding processes. The contact information can be used for communication, purchase order issuance, invoicing, and emergency notifications. The form includes contact details for the Purchasing Division at 951 Okeechobee Rd., with a phone number of 561-838-5406 and a website of www.townofpalmbeach.com.
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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
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