Vendor Registration Form

Company name
Company address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Vendor contact name
First Last
Vendor contact phone
Vendor contact email
Vendor contact fax
Taxpayer Identification Number (FEIN)

Information on this form is transmitted to SFCC as an unencrypted email. Do not provide a Social Security Number. If you do not have an FEIN, please contact the Business office at (660) 530-5826 for a paper Vendor Registration Application.
Organization type
- Individual
- Partnership
- Non-profit
- Corporation
- Joint-Venture
Business type
- Manufacture
- Service
- Distributor/Wholesaler
- Retail
- Manufacturer's Representative
- Contractor
Minority business
- Black
- Hispanic
- American Oriental
- American Indian
- American Eskimo/Aluet
- Does not apply
A minority business is defined as an organization in which 51% of the ownership interest, stock, or otherwise, is owned by minority group members. The determination of minority status depends solely on ownership and operation and is not related to employment of minority persons.
Female owned business
- Yes
- No
A female-owned business is defined as an organization in which 51% of the ownership interest, stock, or otherwise, is owned by a female.
Missouri firm
- Yes
- No
A Missouri firm is defined as an organization that has and maintains within the state of Missouri a regular place of business for the transaction of its business.
Applicant’s Certification*
- I accept, and I am authorized to sign this form.
The undersigned hereby certifies that the foregoing information is a true and correct statement of the facts and agrees to abide by the laws of the state of Missouri and the rules and regulations of State Fair Community College now in effect and including any subsequent revisions thereof. Applicant acknowledges that it is his/her responsibility to keep the information current by notifying the State Fair Community College Business office of any changes. The applicant also acknowledges that repeated failure to respond to Invitation for Bids may result in removal from the bid list.
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Vendor Registration Application

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