Finance Department - Purchasing Division
P.O. Box 29800    Roanoke VA   24018
(540)772-2061 Phone    (540)772-2074 Fax

BIDDER/VENDOR APPLICATION

Roanoke County solicits business from minority-owned businesses.  Any vendor doing business with Roanoke County may be required to provide a County Business License Number and/or State Contractors License Number.

Date of Application:  

Company Contact Information
Name registered with the Internal Revenue Service:

 

 

Business Name: (if different from above, i.e., T/A, dba)

 

 

Contact Name/Title:

 

 

Address to which bid information and purchase orders are to be mailed:

Street: 

 

City:       

 

State:       Zip:

 

Telephone Number (include area code and extension)

 

Fax Number (include area code)

 

 

Contact person email address

 

 

Remittance Address (if different from above)

Street: 

 

City:        

 

State:      Zip:

Remit Telephone Number (if different from above)

 

 

Incorporation Tax Status

If Incorporated, indicate in which State

 

Type of Organization (Select One ):

      Agency  Corporation  Partnership  Proprietorship  Individual/Self 

 Federal Agency  Local Government   State Agency   Other

 

Vendor Type (Check all that apply):

   Small Business  Women Owned  Minority Owned

 

Federal Tax ID OR Social Security Number

 

1099 Reportable     Yes    No        Click here for 1099 reportable information

Freedom of Information Notice

Effective July 1, 2002, HB731 of the 2002 Virginia General Assembly updated the Virginia Freedom of Information Act. Email subscribers receiving information from a public body may, at their request, be exempt from having their email address given out should the email list be requested under the Freedom of Information Act (FOIA). If you would like to be exempted, please check yes below.

Exemption
from
Distribution:		 Yes -I want my email address to be excluded from any FOIA distributions.
No - My email address may be included in any FOIA distributions.
Commodities Interested In

Please use the link below to choose the commodity numbers which best describe your companies product or service.  Enter the commodity numbers, separated by commas, in the box below.

Click Here To See The NIGP Commodity List

 

Commodity Numbers (Separate numbers with commas)

 

 

Should you not be able to find a code/description matching your companies product or service, please feel free to describe below.  A search of the NIGP code book will be made to find a code as close to the product or service as possible.