Vendor Registration Form HomeOffices & Services Finance & Administration Vendor Registration Form Find an Office or Service A+ Program Academic Records & Registrar Academic Tutoring Active Duty Military & Veterans Admissions & Outreach Adult Education & Literacy Alumni Bookstore Business Office Café and Catering Campus Store Career & Technology Center Career Services College Now Counseling Services Disability Resource Center Donald C. Proctor Library Dual Credit Services Finance & Administration Financial Aid Fred E. Davis Multipurpose Center Grant Services Human Resources Information Technology Services Institutional Accreditation and Effectiveness Institutional Research Instructional Design and Training Services LearningForce Library Marketing & Communications Navigator Advising Residence Life Safety & Security Student Activities Student Success Center Testing Services Transfer Services TRiO STEPS Tutoring Services Upward Bound Vendor Registration Application Company nameCompany address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Vendor contact name First Last Vendor contact phoneVendor contact email Vendor contact faxTaxpayer 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 typeIndividualPartnershipNon-profitCorporationJoint-VentureBusiness typeManufactureServiceDistributor/WholesalerRetailManufacturer's RepresentativeContractorMinority businessBlackHispanicAmerican OrientalAmerican IndianAmerican Eskimo/AluetDoes not applyA 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 businessYesNoA female-owned business is defined as an organization in which 51% of the ownership interest, stock, or otherwise, is owned by a female.Missouri firmYesNoA 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.CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms. 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