8-Contact Information.pdf
PDF 321 KB Posted
- Attached to
- Prequalification of Roofing Contractors
- Solicitation number
- RFQ No. 2025-029
- Issued by
- Palm Beach County, Florida
About this file
This is a Contact Information Form from the Town of Palm Beach Purchasing Division located at 951 Okeechobee Road, West Palm Beach, FL 33401. The form is designed to collect comprehensive vendor information across four main sections: company information, contact information, purchase orders, and accounts receivable. The document serves as a standardized template for vendors to provide their business details to establish a relationship with the Town of Palm Beach for potential contracting opportunities, though it does not specify particular products, services, quantities, or contract terms.
The form requests basic company details including legal name, DBA name if applicable, physical and mailing addresses, and owner information. It also collects extensive contact information including primary and alternate contacts with phone numbers, cell phones, email addresses, emergency after-hours contacts, and website information. Additionally, the form requires specific contacts for purchase order processing and accounts receivable functions, ensuring clear communication channels for different aspects of the vendor relationship. The Town of Palm Beach can be contacted at 561-838-5406 or through their website at www.townofpalmbeach.com for questions regarding this vendor registration process.
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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 .