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Vendor Information

Company Name

Address   Address 1 Address 2 AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY City State Zip Code

Contact Name   First Name M. Last Name First Name / Middle / Last Name

Daytime Phone    -  -  (XXX)-XXX-XXXX

Fax Phone    -  -  (XXX)-XXX-XXXX

Website Address

Email Address

Type of Business   Advertising Automotive Building and Grounds Communications Computers Consulting Services Contractors Food Services Furniture Instructional & Library Products Laboratory/Medical Equipment and Supplies Office Equipment and Supplies Printing Products & Services Services Other

Tax Information

Federal Tax ID

Organization Type   Corporation Foreign Corporation Individual Foreign Individual Partnership Foreign Partnership Government Agency Foreign Gov't Agency

1099 Information

Enter Tax Reporting Name if different from Company Name. Enter Mailing Address if different from Remittance Address. If the 1099 address is the same as one of the addresses listed above, indicate which one of the two addresses is also the tax address.

Tax Reporting Name

Address (If Different From Above)   Address 1 Address 2 AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY City State Zip Code

W-9 Information

In order for Pomona Unified School District to consider a vendor for quote, the District must have the vendor's W-9 Form on file. You may submit this from to the Purchasing Department via e-mail, fax (909) 397-5050 or U.S. Mail.